| Dr Anil Chawla, MD | |
|
3500 Franciscan Way, Michigan City, IN 46360-0021 | |
| (219) 852-1524 | |
| (219) 933-2288 |
| Full Name | Dr Anil Chawla |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Location | 3500 Franciscan Way, Michigan City, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922066760 | NPI | - | NPPES |
| 100319600 | Medicaid | IN | |
| 000000079479 | Other | IN | ANTHEM BCBS PROVIDER PIN |
| 10780921 | Other | IN | CAQH NUMBER |
| 91115450 | Other | IL | BCBS IL PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 01038935 (Indiana) | Secondary |
| 208M00000X | Hospitalist | 01038935A (Indiana) | Primary |
| Entity Name | Franciscan Physician Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225327984 PECOS PAC ID: 3072790682 Enrollment ID: O20110608000486 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Anil Chawla, MD Po Box 781076, Detroit, MI 48278-1076 Ph: (317) 528-4800 | Dr Anil Chawla, MD 3500 Franciscan Way, Michigan City, IN 46360-0021 Ph: (219) 852-1524 |
Dr. Syed Raziuddin Majid, M.D., M.R.C.P. Hospitalist Medicare: Medicare Enrolled Practice Location: 1225 E Coolspring Ave, Michigan City, IN 46360 Phone: 219-861-8740 Fax: 219-877-1029 | |
Dr. Adam Sergiwa, MD, MPH, MRCP,DCH Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 9856 W 400 N, Michigan City, IN 46360 Phone: 219-878-0882 Fax: 219-878-0884 |