| Dr Disha Mahendra, MD | |
|
12750 St Francis Dr, Crown Point, IN 46307-0264 | |
| (219) 757-6121 | |
| (219) 681-6897 |
| Full Name | Dr Disha Mahendra |
|---|---|
| Gender | Female |
| Speciality | Hospitalist |
| Location | 12750 St Francis Dr, Crown Point, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457662942 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 2010019223 (Missouri) | Secondary |
| 208M00000X | Hospitalist | 01081389A (Indiana) | Primary |
| 207R00000X | Internal Medicine | 036132932 (Illinois) | Secondary |
| Entity Name | Central Dupage Physician Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033149844 PECOS PAC ID: 5890696231 Enrollment ID: O20040303000601 |
| Entity Name | Endeavor Health Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Disha Mahendra, MD Po Box 781076, Detroit, MI 48278-1076 Ph: (317) 528-4800 | Dr Disha Mahendra, MD 12750 St Francis Dr, Crown Point, IN 46307-0264 Ph: (219) 757-6121 |
Nicole M Cataldi, D.O. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 800 W Burrell Dr, Crown Point, IN 46307 Phone: 219-663-9913 Fax: 219-663-9923 | |
Mary Eileen Mccormack, DO Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 800 W Burrell Dr, Crown Point, IN 46307 Phone: 219-663-9913 Fax: 219-663-9923 | |
Usman Syed Ather, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 12750 St Francis Dr, Crown Point, IN 46307 Phone: 219-757-6121 Fax: 219-681-6897 | |
Kenneth Polezoes, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 7310 W Lincoln Hwy, Crown Point, IN 46307 Phone: 219-322-4637 Fax: 219-322-5298 | |
Rayon Golding, D.O. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 12750 St Francis Dr, Crown Point, IN 46307 Phone: 219-757-6121 Fax: 219-681-6897 | |
Ajitha Antony, M.D. Hospitalist Medicare: May Accept Medicare Assignments Practice Location: 12750 Saint Francis Dr, Crown Point, IN 46307 Phone: 219-757-6005 Fax: 219-681-6823 | |
Dr. Islam Adel Badawy, DO Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 12750 St Francis Dr Ste 320, Crown Point, IN 46307 Phone: 219-662-0077 Fax: 219-662-9496 |