Organization
CONFIDENTIAL CARE, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANKER JAYACHANDRAN MD (OWNER/CEO)
(219) 934-6410
Entity
Organization
Contact information
Practice address
1650 45TH ST STE C, MUNSTER, IN 46321-3960
(219) 934-6410
(219) 881-8777
Mailing address
8951 BONITA BEACH RD STE 525, PMB 312, BONITA SPGS, FL 34135-4208
(219) 934-6410
(219) 881-8777
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200419260A
—
IN
Enumeration date
06/09/2006
Last updated
08/25/2023
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