Individual
AMBROSIO ARANAS DOSADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3847 EUCLID AVE, EAST CHICAGO, IN 46312-2332
(219) 398-0700
Mailing address
3048 LAKESIDE DR, HIGHLAND, IN 46322-3470
(219) 922-1581
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01044052A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000296072
BCBS
IN
05
—
200057300
—
IN
Enumeration date
03/21/2007
Last updated
09/16/2019
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