Individual
ALFREDO PAMINTUAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1507 WABASH ST, SUITE 500A, MICHIGAN CITY, IN 46360-4300
(219) 861-8661
(219) 861-8789
Mailing address
1040 SIERRA DR STE 400, GREENWOOD, IN 46143-7241
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01043912A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000347070
ANTHEM
IN
05
—
200045890
—
IN
Enumeration date
01/26/2006
Last updated
03/11/2021
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