Mihas Mamu Kodenchery MD

NPI 1013111475 - Internal Medicine - 207R00000X

NPI Details
NPI 1013111475
Gender Male
Enumeration Date 06/12/2007
Last Updated 02/09/2014
Entity Type Individual
Active Over 9 years ago
Practice Location
5800 BROADWAY
SUITE A-J
MERRILLVILLE IN, 46410-2601, US
Phone (219) 884-9185
Fax
Business Location
5800 BROADWAY
SUITE A-J
MERRILLVILLE IN, 46410-2601, US
Phone (219) 884-9185
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Michigan
License Number 4301087486
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According to our database, Dr. Mihas Mamu Kodenchery MD NPI is 1013111475, taxonomy code is 207R00000X and license number is 4301087486, license state is located at Michigan. Mihas Mamu Kodenchery MD physically located at 5800 Broadway, Merrillville IN, 46410-2601. NPI Number Mihas Mamu Kodenchery MD has the Individual type.

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1013111475 NPI number is provided on an as is basis without warranty of any kind. 1013111475 is maintained by the National Plan & Provider Enumeration System. The contents of Mihas Mamu Kodenchery MD are for informational purposes only.