Chest Clinic, Pc

LBN: Chest Clinic, Pc
Chest Clinic, Pc is an health care organization with primary practice located at 10176 W 400 N Suite B, Michigan City IN 46360-9008. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Chest Clinic, Pc can be contacted via phone (219) 878-5864, or through Ahmed, Siraj K via phone (219) 878-5864.

Contact Information

Primary practice address
10176 W 400 N Suite B Michigan City IN 46360-9008
Phone: (219) 878-5864
Fax: (219) 878-0632
Website:
Map and Directions
Authorized official contact:
Name: Ahmed, Siraj K Doctor of Medicine (MD)
Phone: (219) 878-5864

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 50003970A Indiana

Profile Details

NPI number 1053492926
LBN Legal business name Chest Clinic, Pc
DBA Doing business as
Authorized official Ahmed, Siraj K Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 18th, 2006
Last updated Apr 28th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053492926 NPPES
Indiana MEDICAID 200903550B
Indiana MEDICAID 100165460A
Indiana MEDICAID 200903550 A
Indiana Other 000000104803
Indiana MEDICAID 200903550C

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