| Md Healthcare Direct | |
|
5330 Harrison Street Merrillville IN 46410-1465 | |
| (219) 712-3657 | |
| Not Available |
| Full Name | Md Healthcare Direct |
|---|---|
| Speciality | Internal Medicine |
| Location | 5330 Harrison Street, Merrillville, Indiana |
| Authorized Official Name and Position | Okechi Nwabara (CEO) |
| Authorized Official Contact | 2197127375 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Md Healthcare Direct 5330 Harrison Street Merrillville IN 46410-1465 Ph: (219) 712-3657 | Md Healthcare Direct 5330 Harrison Street Merrillville IN 46410-1465 Ph: (219) 712-3657 |
| NPI Number | 1508493669 |
|---|---|
| Provider Enumeration Date | 03/26/2020 |
| Last Update Date | 03/26/2020 |
| Medicare PECOS PAC ID | 3870914476 |
|---|---|
| Medicare Enrollment ID | O20200608001691 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508493669 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Stephanie O Bandy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306224597 PECOS PAC ID: 0941511380 Enrollment ID: I20151124000620 |
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