| Dr Sushruta Shantanu Nagarkatti, MBBS | |
|
611 E Douglas Rd Ste 207, Mishawaka, IN 46545-1465 | |
| (574) 335-6850 | |
| (574) 335-0849 |
| Full Name | Dr Sushruta Shantanu Nagarkatti |
|---|---|
| Gender | Male |
| Speciality | Surgery - Surgical Oncology |
| Location | 611 E Douglas Rd Ste 207, Mishawaka, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134416977 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086X0206X | Surgery - Surgical Oncology | 4301503008 (Michigan) | Secondary |
| 2086X0206X | Surgery - Surgical Oncology | 01094815A (Indiana) | Primary |
| Entity Name | Saint Joseph Regional Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225082878 PECOS PAC ID: 8325950843 Enrollment ID: O20040708000757 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Sushruta Shantanu Nagarkatti, MBBS 5215 Holy Cross Pkwy, Mishawaka, IN 46545-1469 Ph: (574) 335-8707 | Dr Sushruta Shantanu Nagarkatti, MBBS 611 E Douglas Rd Ste 207, Mishawaka, IN 46545-1465 Ph: (574) 335-6850 |
Ziad Youssef Fayad, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 611 E Douglas Rd Ste 200, Mishawaka, IN 46545 Phone: 574-272-5347 Fax: 574-272-8617 | |
Jeffrey S Borders, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 303 S Main St Ste 200, Mishawaka, IN 46544 Phone: 574-398-2090 Fax: 574-807-6752 | |
Matthew K Folstein, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 611 E Douglas Rd Ste 207, Mishawaka, IN 46545 Phone: 574-335-6850 Fax: 574-335-0849 |