Duprat, Gerard I
Duprat, Gerard I is an individual health care provider with primary practice located at 621 Memorial Dr Suite 312, South Bend IN 46601-1063. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Duprat, Gerard I can be contacted via phone (574) 647-5200.Contact Information
Primary practice address
621 Memorial Dr Suite 312
South Bend IN 46601-1063
Phone: (574) 647-5200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 01036966 | Indiana |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 01036966 | Indiana |
Profile Details
| NPI number | 1780679225 |
|---|---|
| LBN Legal business name | Duprat, Gerard I |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 12th, 2005 |
| Last updated | Dec 6th, 2017 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780679225 | NPPES |
| Indiana | Other | 000000773328 | BCBS VASCULAR IR |
| Indiana | MEDICAID | 100469090 | BCBS VASCULAR IR |
| Indiana | Other | 000000951356 | BCBS VASCULAR IR |
| Indiana | Other | P01088785 | BCBS VASCULAR IR |
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