Kodenchery, Mihas Mamu

Kodenchery, Mihas Mamu is an individual health care provider with primary practice located at 5800 Broadway Suite A-J, Merrillville IN 46410-2601. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Kodenchery, Mihas Mamu can be contacted via phone (219) 884-9185.

Contact Information

Primary practice address
5800 Broadway Suite A-J Merrillville IN 46410-2601
Phone: (219) 884-9185
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301087486 Michigan
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 4301087486 Michigan
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 01072452A Indiana

Profile Details

NPI number 1013111475
LBN Legal business name Kodenchery, Mihas Mamu
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2007
Last updated Feb 9th, 2014 - about 10 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.

Request for update

Popular Providers