James Praveen Anthony MD

NPI 1639356025 - Internal Medicine - 207RC0200X

NPI Details
NPI 1639356025
Gender Male
Enumeration Date 01/28/2008
Last Updated 07/25/2013
Entity Type Individual
Active Over 8 years ago
Practice Location
1101 GLENDALE BLVD
SUITE 102-B
VALPARAISO IN, 46383-3767, US
Phone (219) 464-9054
Fax (219) 465-1749
Business Location
1101 GLENDALE BLVD
SUITE 102-B
VALPARAISO IN, 46383-3767, US
Phone (219) 464-9054
Fax (219) 465-1749
Toxanomy
Taxonomy Code 207RC0200X
License State Illinois
License Number 036.125048
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According to our database, Dr. James Praveen Anthony MD NPI is 1639356025, taxonomy code is 207RC0200X and license number is 036.125048, license state is located at Illinois. James Praveen Anthony MD physically located at 1101 Glendale Blvd, Valparaiso IN, 46383-3767. NPI Number James Praveen Anthony MD has the Individual type.

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1639356025 NPI number is provided on an as is basis without warranty of any kind. 1639356025 is maintained by the National Plan & Provider Enumeration System. The contents of James Praveen Anthony MD are for informational purposes only.