Organization
KAKODKAR FAMILY MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARVIND KAKODKAR M.D. (PRESIDENT)
(219) 924-8458
Entity
Organization
Contact information
Practice address
3700 MAIN ST, EAST CHICAGO, IN 46312-2224
(219) 398-3016
Mailing address
PO BOX 3297, EAST CHICAGO, IN 46312-8297
(219) 924-8458
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200261580
—
IN
Enumeration date
11/14/2006
Last updated
08/09/2010
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