| Shashidhar Divakaruni, MD | |
|
1730 45th Ave, Munster, IN 46321-3915 | |
| (219) 836-9677 | |
| (219) 836-0688 |
| Full Name | Shashidhar Divakaruni |
|---|---|
| Gender | Male |
| Speciality | Cardiovascular Disease (cardiology) |
| Experience | 42 Years |
| Location | 1730 45th Ave, Munster, Indiana |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902936578 | NPI | - | NPPES |
| 100200170B | Medicaid | IN | |
| 90000999 | Other | IL | BCBSIL |
| 000000173830 | Other | IN | ANTHEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0011X | Internal Medicine - Interventional Cardiology | 01040667 (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Community Home Health Services | Munster, IN | Home health agency |
| Community Hospital | Munster, IN | Hospital |
| St Catherine Hospital Inc | East chicago, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cardiac Care Consultants Pc | 6305820580 | 2 |
| Entity Name | Cardiac Care Consultants Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770501256 PECOS PAC ID: 6305820580 Enrollment ID: O20040615001500 |
| Mailing Address | Practice Location Address |
|---|---|
| Shashidhar Divakaruni, MD 1730 45th Ave, Munster, IN 46321-3915 Ph: (219) 836-9677 | Shashidhar Divakaruni, MD 1730 45th Ave, Munster, IN 46321-3915 Ph: (219) 836-9677 |
Maali Milhem, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 9126 Columbia Ave, Munster, IN 46321 Phone: 219-703-2408 Fax: 219-703-6684 | |
Sahar Halabi, M.D Internal Medicine Medicare: Medicare Enrolled Practice Location: 761 45th St Ste 108, Munster, IN 46321 Phone: 219-922-5416 Fax: 219-922-3745 | |
Wassim Shwaiki, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 8840 Calumet Ave Ste 203, Munster, IN 46321 Phone: 219-836-7723 Fax: 219-836-7726 | |
Thottathil Viswanathan Gopan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 761 45th St Ste 110, Munster, IN 46321 Phone: 219-922-3020 Fax: 219-922-3023 | |
Ammar Hassan, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 9410 Calumet Ave Ste 401, Munster, IN 46321 Phone: 219-922-4900 Fax: 219-836-9922 | |
Dr. Kyle Kleist, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 Superior Ave, Munster, IN 46321 Phone: 219-852-1524 Fax: 219-933-2288 | |
Dr. Gene Lee Chang, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 9030 Columbia Ave, Munster, IN 46321 Phone: 219-836-6002 Fax: 219-836-6003 |