| Hospitalist Medicine Physicians Of Indiana-tcg, Llc | |
|
5215 Holy Cross Pkwy Mishawaka IN 46545-1469 | |
| (574) 335-5000 | |
| Not Available |
| Full Name | Hospitalist Medicine Physicians Of Indiana-tcg, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5215 Holy Cross Pkwy, Mishawaka, Indiana |
| Authorized Official Name and Position | Robert Bessler (PRESIDENT) |
| Authorized Official Contact | 6153775658 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hospitalist Medicine Physicians Of Indiana-tcg, Llc 5410 Maryland Way Ste 300 Brentwood TN 37027-5339 Ph: (615) 377-5658 | Hospitalist Medicine Physicians Of Indiana-tcg, Llc 5215 Holy Cross Pkwy Mishawaka IN 46545-1469 Ph: (574) 335-5000 |
| NPI Number | 1033697529 |
|---|---|
| Provider Enumeration Date | 08/06/2018 |
| Last Update Date | 08/06/2018 |
| Medicare PECOS PAC ID | 2163804840 |
|---|---|
| Medicare Enrollment ID | O20220727001900 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033697529 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Abdul Sami Qazi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366508228 PECOS PAC ID: 8022110287 Enrollment ID: I20180112001357 |
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