Organization
OKOLOCHA MEDICAL PAIN & WEIGHT CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMBROSIO ARANAS DOSADO M.D. (PHYSICIAN)
(219) 398-0700
Entity
Organization
Contact information
Practice address
3847 EUCLID AVE, EAST CHICAGO, IN 46312-2332
(219) 398-0700
(219) 398-4914
Mailing address
3048 LAKESIDE DR, HIGHLAND, IN 46322-3470
(219) 922-1581
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01044052
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000296072
BC/BS
IN
Enumeration date
05/24/2006
Last updated
08/22/2020
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