Individual
DR. JAMES PRAVEEN ANTHONY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1101 GLENDALE BLVD, SUITE 103, VALPARAISO, IN 46383-3767
(219) 464-9054
(219) 465-1749
Mailing address
1101 GLENDALE BLVD, SUITE 103, VALPARAISO, IN 46383-3767
(219) 464-9054
(219) 465-1749
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01071016A
IN
207R00000X
Internal Medicine Physician
036.125048
IL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
01071016A
IN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
036.125048
IL
207RP1001X
Pulmonary Disease Physician
Primary
01071016A
IN
207RP1001X
Pulmonary Disease Physician
036.125048
IL
Other
Enumeration date
01/28/2008
Last updated
04/28/2026
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