Mavrelis, Peter George

Mavrelis, Peter George is an individual health care provider with primary practice located at 7895 Grand Blvd , Hobart IN 46342-6665. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Mavrelis, Peter George can be contacted via phone (219) 947-1910.

Contact Information

Primary practice address
7895 Grand Blvd Hobart IN 46342-6665
Phone: (219) 947-1910
Fax: (219) 758-5009
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 01030831A Indiana

Profile Details

NPI number 1326043597
LBN Legal business name Mavrelis, Peter George
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2005
Last updated Dec 9th, 2022 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326043597 NPPES
Indiana Other 000000085027 ANTHEM BC/BS
Indiana MEDICAID 100138640A ANTHEM BC/BS
Indiana Other 9115389 ANTHEM BC/BS
Indiana Other 110044491 ANTHEM BC/BS

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