Individual
SUNIL DEDHIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9900 COLUMBIA AVE, MUNSTER, IN 46321-4008
(219) 924-3300
(219) 934-2658
Mailing address
PO BOX 3329, MUNSTER, IN 46321-3329
(219) 924-3300
(219) 934-2658
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
01065718A
IN
207X00000X
Orthopaedic Surgery Physician
036113996
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000586499
ANTHEM
—
05
—
200921560
—
IN
Enumeration date
06/17/2008
Last updated
02/12/2025
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