| Subba Rao Nagubadi, MD | |
|
1101 Glendale Blvd, Ste 111, Valparaiso, IN 46383-3767 | |
| (219) 464-1001 | |
| (219) 465-7426 |
| Full Name | Subba Rao Nagubadi |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 60 Years |
| Location | 1101 Glendale Blvd, Valparaiso, 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 |
|---|---|---|---|
| 1417957457 | NPI | - | NPPES |
| 100208510A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 01032523A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| La Porte Hospital | La porte, IN | Hospital |
| Indiana University Health Starke Hospital | Knox, IN | Hospital |
| Northwest Health - Porter | Valparaiso, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| La Porte Clinic Company Llc | 0446558357 | 59 |
| Entity Name | La Porte Clinic Company Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568829224 PECOS PAC ID: 0446558357 Enrollment ID: O20160408001751 |
| Mailing Address | Practice Location Address |
|---|---|
| Subba Rao Nagubadi, MD 2022 Kelle Dr, Chesterton, IN 46304-8708 Ph: (219) 364-4004 | Subba Rao Nagubadi, MD 1101 Glendale Blvd, Ste 111, Valparaiso, IN 46383-3767 Ph: (219) 464-1001 |
Dr. John Christopher Lynam, D.O. Urology Medicare: Accepting Medicare Assignments Practice Location: 85 E Us Highway 6 Ste 230, Valparaiso, IN 46383 Phone: 219-983-6230 Fax: 219-983-6030 | |
Dr. Genri Pinkhasov, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 85 E Us Highway 6 Ste 230, Valparaiso, IN 46383 Phone: 219-983-6230 Fax: 219-983-6030 |