Willow Creek Medical Llc in Portage - Internal Medicine
Willow Creek Medical Llc - NPI 1073660049
Willow Creek Medical Llc is a Internal Medicine in Portage, Indiana. Willow Creek Medical Llc practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Willow Creek Medical Llc is 1073660049. The last update date is 2010-12-17.
Willow Creek Medical Llc's current location address is 3156 Willowcreek Rd, Portage, Indiana. You can contact this provider via phone number 2197624999 and fax number 2197622288. The mailing address for Willow Creek Medical Llc is 3156 Willowcreek Rd, Portage, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Willow Creek Medical Llc |
|---|---|
| Address | 3156 Willowcreek Rd, Portage, Indiana |
| Phone Number | 2197624999 |
| Fax Number | 2197622288 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Kumar Ashwani |
| Credentials | M.D. |
| Telephone Number | 2197624999 |
NPI Number Detail
| NPI Number | 1073660049 |
|---|---|
| Provider Enumeration Date | 2007-01-04 |
| Last Updated Date | 2010-12-17 |
Provider Mailing Address Detail
| Address | 3156 Willowcreek Rd |
|---|---|
| City | Portage |
| State | Indiana (IN) |
| Post Code | 463684424 |
| Phone Number | 2197624999 |
| Fax Number | 2197622288 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 010133934B |
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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 |
|---|---|---|---|
| 200237500 | IN | -- | |
| CG2594 | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique identifier code issued to Willow Creek Medical Llc by the Centers for Medicare & Medicaid Services (CMS)?
The Willow Creek Medical Llc has been assigned the NPI (National Provider Identifier) 1073660049. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Willow Creek Medical Llc is located?
The Willow Creek Medical Llc is situated at the following address: 3156 Willowcreek Rd, Portage, IN, 463684424.
What is Willow Creek Medical Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Willow Creek Medical Llc is Internal Medicine, and the taxonomy code that classifies this field of practice is 207R00000X.
On what date did Willow Creek Medical Llc receive its 1073660049 assignment from the Centers for Medicare & Medicaid Services?
The Willow Creek Medical Llc was assigned its 1073660049 on 2007-01-04, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Willow Creek Medical Llc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Willow Creek Medical Llc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2010-12-17.