Organization
SHEILA MOTHKUR, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHRIS ZICK (OFFICE MANAGER)
(219) 874-5333
Entity
Organization
Contact information
Practice address
1501 WABASH ST RM 101, MICHIGAN CITY, IN 46360-4364
(219) 874-5333
(219) 874-0254
Mailing address
1501 WABASH ST STE 101, MICHIGAN CITY, IN 46360-4364
(219) 874-5333
(219) 874-0254
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
01037546
IN
Other
Enumeration date
07/31/2007
Last updated
12/15/2009
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