Individual
AMITA RASTOGI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10326 SANDY LN, MUNSTER, IN 46321-4333
(219) 934-9624
Mailing address
9201 CALUMET AVE, MUNSTER, IN 46321-2807
(219) 836-9022
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
01046567A
IN
Other
Enumeration date
02/26/2007
Last updated
07/08/2007
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