| Chest Clinic, Pc | |
|
10176 W 400 N Suite B Michigan City IN 46360-9008 | |
| (219) 878-5864 | |
| (219) 878-0632 |
| Full Name | Chest Clinic, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 10176 W 400 N, Michigan City, Indiana |
| Authorized Official Name and Position | Siraj K Ahmed (PHYSICIAN/PRESIDENT) |
| Authorized Official Contact | 2198785864 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chest Clinic, Pc 10176 W 400 N Suite B Michigan City IN 46360-9008 Ph: (219) 878-5864 | Chest Clinic, Pc 10176 W 400 N Suite B Michigan City IN 46360-9008 Ph: (219) 878-5864 |
| NPI Number | 1053492926 |
|---|---|
| Provider Enumeration Date | 10/18/2006 |
| Last Update Date | 04/28/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053492926 | NPI | - | NPPES |
| 200903550B | Medicaid | IN | |
| 100165460A | Medicaid | IN | |
| 200903550 A | Medicaid | IN | |
| 000000104803 | Other | IN | ANTHEM GROUP PROVIDER NUM |
| 200903550C | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 50003970A (Indiana) | Primary |
Healthpartners Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1225 E Coolspring Ave, Michigan City, IN 46360 Phone: 219-879-6531 Fax: 219-878-5015 | |
Healthlinc - Michigan City Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 200 Alfred St, Michigan City, IN 46360 Phone: 219-413-5100 | |
Smart Physician Systems Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10176 W 400 N Ste C, Michigan City, IN 46360 Phone: 219-805-5333 Fax: 219-873-0001 | |
Lakeshore Bone & Joint Institute, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1225 E Coolspring Ave Ste 2f, Michigan City, IN 46360 Phone: 219-921-1444 Fax: 219-921-0533 | |
Healthlinc, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 710 Franklin St Ste 200, Michigan City, IN 46360 Phone: 219-872-6200 | |
Contri Medical Corporation Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 217 West Homer Street, Michigan City, IN 46360 Phone: 219-872-2101 Fax: 219-878-8017 |