| Dr Kovilparambil Xavier Antony, MD | |
|
1100 W 6th Avenue, Gary, IN 46402 | |
| (219) 885-4264 | |
| Not Available |
| Full Name | Dr Kovilparambil Xavier Antony |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1100 W 6th Avenue, Gary, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376677138 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 01041392A (Indiana) | Primary |
| Entity Name | Northeast Iowa Mental Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710933445 PECOS PAC ID: 1355230475 Enrollment ID: O20040315000839 |
| Entity Name | Evizzit Of Iowa Psychiatry Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740841188 PECOS PAC ID: 2860825924 Enrollment ID: O20191203001330 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kovilparambil Xavier Antony, MD 12028 S Van Beveren Dr, Alsip, IL 60803-1700 Ph: () - | Dr Kovilparambil Xavier Antony, MD 1100 W 6th Avenue, Gary, IN 46402 Ph: (219) 885-4264 |
Nezar Khatib, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 600 Grant St, Gary, IN 46402 Phone: 219-886-4000 | |
Dr. Pamela V. Tran, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1100 W 6th Ave, Gary, IN 46402 Phone: 219-885-4264 | |
Mr. Kobie I Douglas, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1100 W 6th Ave, Gary, IN 46402 Phone: 219-885-4264 Fax: 219-880-0182 | |
Dr. Martha F. Hernandez, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3787 Grant St, Gary, IN 46408 Phone: 219-981-4800 Fax: 219-981-4805 | |
Dr. Beatrice Alexandria Nelson Brewer, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4844 Broadway, Gary, IN 46408 Phone: 219-985-2760 | |
Mr. Muhammad Butt, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1100 W 6th Ave, Gary, IN 46402 Phone: 219-885-4264 Fax: 219-882-0962 |