| Personal Health Management, Pc | |
|
2031 Roosevelt Rd Valparaiso IN 46383-2746 | |
| (219) 464-8007 | |
| (219) 464-7651 |
| Full Name | Personal Health Management, Pc |
|---|---|
| Speciality | Family Medicine - Adult Medicine |
| Location | 2031 Roosevelt Rd, Valparaiso, Indiana |
| Authorized Official Name and Position | Arjun K Gupta (OWNER) |
| Authorized Official Contact | 2194648007 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Personal Health Management, Pc 2031 Roosevelt Rd Valparaiso IN 46383-2746 Ph: (219) 464-8007 | Personal Health Management, Pc 2031 Roosevelt Rd Valparaiso IN 46383-2746 Ph: (219) 464-8007 |
| NPI Number | 1770660557 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 05/04/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770660557 | NPI | - | NPPES |
| 000000090548 | Other | IN | ANTHEM BC/BS |
| 020024431 | Other | IN | RR MEDICARE |
| 200481530A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Primary |
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