Personal Health Management, Pc | |
2031 Roosevelt Rd Valparaiso IN 46383-2746 | |
(219) 464-8007 | |
(219) 464-7651 |
Full Name | Personal Health Management, Pc |
---|---|
Speciality | Family Medicine - Adult Medicine |
Location | 2031 Roosevelt Rd, Valparaiso, Indiana |
Authorized Official Name and Position | Arjun K Gupta (OWNER) |
Authorized Official Contact | 2194648007 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Personal Health Management, Pc 2031 Roosevelt Rd Valparaiso IN 46383-2746 Ph: (219) 464-8007 | Personal Health Management, Pc 2031 Roosevelt Rd Valparaiso IN 46383-2746 Ph: (219) 464-8007 |
NPI Number | 1770660557 |
---|---|
Provider Enumeration Date | 11/01/2006 |
Last Update Date | 05/04/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770660557 | NPI | - | NPPES |
000000090548 | Other | IN | ANTHEM BC/BS |
020024431 | Other | IN | RR MEDICARE |
200481530A | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Primary |
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