| Katherine Tian, MD | |
|
211 N Eddy St, South Bend, IN 46617-3096 | |
| (574) 251-2100 | |
| Not Available |
| Full Name | Katherine Tian |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Location | 211 N Eddy St, South Bend, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144888017 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 125074042 (Illinois) | Secondary |
| 207R00000X | Internal Medicine | 01087789A (Indiana) | Primary |
| Entity Name | The South Bend Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073680419 PECOS PAC ID: 3779577937 Enrollment ID: O20040412000439 |
| Mailing Address | Practice Location Address |
|---|---|
| Katherine Tian, MD 211 N Eddy St, South Bend, IN 46617-3096 Ph: (574) 251-2100 | Katherine Tian, MD 211 N Eddy St, South Bend, IN 46617-3096 Ph: (574) 251-2100 |
Mayank Kumar Mittal, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 610 N Michigan St Ste 400, South Bend, IN 46601 Phone: 574-647-8120 Fax: 574-647-8111 | |
Dr. Steven P. Crowell, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 211 N Eddy St, South Bend, IN 46617 Phone: 574-237-9340 Fax: 574-239-1474 | |
Muhammad Shakil Aslam, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 610 N Michigan St Ste 400, South Bend, IN 46601 Phone: 574-647-8120 Fax: 574-647-8111 | |
Waseem Barham, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 610 N Michigan St Ste 400, South Bend, IN 46601 Phone: 574-647-8120 Fax: 574-647-8111 | |
Monika Niemiec, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 615 N Michigan St, 1st Fl Hospitalist Ste, South Bend, IN 46601 Phone: 574-647-3050 Fax: 574-647-1094 | |
Dr. Travis Weaver, D.O. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1815 E Ireland Rd, South Bend, IN 46614 Phone: 574-647-1700 Fax: 574-647-7572 | |
Dr. Thomas P Barbour, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 211 N Eddy St, South Bend, IN 46617 Phone: 574-237-9340 Fax: 574-239-1474 |