Organization
OFF HOUR MEDICAL SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIKIRI RATNAYAKE MD (DIRECTOR)
(219) 464-8115
Entity
Organization
Contact information
Practice address
1910 CALUMET AVE, VALPARAISO, IN 46383-2704
(241) 946-4811
(219) 464-8115
Mailing address
PO BOX 1249, VALPARAISO, IN 46384-1249
(219) 464-8115
(219) 464-8115
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01028333
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000085652
ANTHEM BLUE CROSS PIN
IN
Enumeration date
04/10/2007
Last updated
08/22/2020
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