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Organization

SOUTHERN INDIANA ENDOCRINE PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VASDEV LOHANO (PRESIDENT)
(812) 257-1211
Entity
Organization

Contact information

Practice address
1314 E WALNUT ST, WASHINGTON, IN 47501-2860
(270) 765-3886
(270) 763-0171
Mailing address
PO BOX 540, WASHINGTON, IN 47501-0540
(270) 765-3886
(270) 763-0171

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
207R00000X
Internal Medicine Physician
Primary
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
363L00000X
Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200340890
IN
01
DH1671
RAILROAD MEDICARE
IN
Enumeration date
10/23/2007
Last updated
05/29/2024
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