Organization
INDIANA CARDIOVASCULAR ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KWANG DUCK YOU M.D. (PRESIDENT)
(219) 836-4300
Entity
Organization
Contact information
Practice address
931 FRAN LIN PKWY, MUNSTER, IN 46321-3540
(219) 836-4300
(219) 836-0033
Mailing address
931 FRAN LIN PKWY, MUNSTER, IN 46321-3540
(219) 836-4300
(219) 836-0033
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
50003901A
IN
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
50003901A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DG4828
RAILROAD MEDICARE
IN
Enumeration date
03/07/2007
Last updated
02/13/2008
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