Individual
DR. ALAN MUNDAKKAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1500 S LAKE PARK AVE, HOBART, IN 46342-6699
(219) 942-0551
Mailing address
1500 S LAKE PARK AVE, HOBART, IN 46342-6699
(219) 947-6239
(419) 291-2163
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
02007186A
IN
207P00000X
Emergency Medicine Physician
036165866
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2020
Last updated
07/27/2023
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