Chest Clinic, Pc in Michigan City - Internal Medicine
Chest Clinic, Pc - NPI 1053492926
Chest Clinic, Pc is a Internal Medicine in Michigan City, Indiana. Chest Clinic, Pc practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Chest Clinic, Pc is 1053492926. The last update date is 2009-04-28.
Chest Clinic, Pc's current location address is 10176 W 400 N, Michigan City, Indiana. You can contact this provider via phone number 2198785864 and fax number 2198780632. The mailing address for Chest Clinic, Pc is 10176 W 400 N, Michigan City, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Chest Clinic, Pc |
|---|---|
| Address | 10176 W 400 N, Michigan City, Indiana |
| Phone Number | 2198785864 |
| Fax Number | 2198780632 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHYSICIAN/ |
|---|---|
| Authorized Official Name | Ahmed K Siraj |
| Credentials | M.D. |
| Telephone Number | 2198785864 |
NPI Number Detail
| NPI Number | 1053492926 |
|---|---|
| Provider Enumeration Date | 2006-10-18 |
| Last Updated Date | 2009-04-28 |
Provider Mailing Address Detail
| Address | 10176 W 400 N |
|---|---|
| City | Michigan City |
| State | Indiana (IN) |
| Post Code | 463609008 |
| Phone Number | 2198785864 |
| Fax Number | 2198780632 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 50003970A |
|
Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200903550B | IN | -- | |
| 100165460A | IN | -- | |
| 200903550 A | IN | -- | |
| 104803 | IN | ANTHEM GROUP PROVIDER NUM | |
| 200903550C | IN | -- |
Post Comment/ Review Below
What is the Chest Clinic, Pc's unique identification number?
The Chest Clinic, Pc has been assigned the NPI (National Provider Identifier) Number 1053492926 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Chest Clinic, Pc?
The Chest Clinic, Pc is situated at 10176 W 400 N, in the city of Michigan City, state of IN, with the zip code 463609008.
What is Chest Clinic, Pc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Chest Clinic, Pc is Internal Medicine, and the taxonomy code that categorizes this field of expertise is 207R00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1053492926 to Chest Clinic, Pc?
The Chest Clinic, Pc received its 1053492926 assignment from the Centers for Medicare & Medicaid Services on 2006-10-18.
As of what date was the information pertaining to Chest Clinic, Pc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Chest Clinic, Pc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2009-04-28.
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