James, Thekkumkattil D
James, Thekkumkattil D is an individual health care provider with primary practice located at 2510 E Dupont Rd Ste 200, Fort Wayne IN 46825. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. James, Thekkumkattil D can be contacted via phone (260) 489-6969.Contact Information
Primary practice address
2510 E Dupont Rd Ste 200
Fort Wayne IN 46825
Phone: (260) 489-6969
Fax: (260) 490-3939
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adult Medicine | 207QA0505X | 01034777B | Indiana |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 01034777B | Indiana |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 01034777B | Indiana |
Profile Details
| NPI number | 1578523676 |
|---|---|
| LBN Legal business name | James, Thekkumkattil D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 24th, 2006 |
| Last updated | Sep 25th, 2013 - about 11 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 | 1578523676 | NPPES |
| Indiana | Other | 000000690072 | ANTHEM |
| Indiana | MEDICAID | 100080860 | ANTHEM |
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