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Contact Information

MIHAS M KODENCHERY, MD
5800 BROADWAY
SUITE A-J
MERRILLVILLE, IN46410-2601
 Phone: 219-884-9185
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for MIHAS M KODENCHERY · (Male)

NPI # 1013111475
Status Active
Credentials MD
Entity Individual
Enumeration date 06/12/2007
Last updated 02/09/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 01072452A
  • MI License # 4301087486
Hospital affiliation(s)
  • METHODIST HOSPITALS INC - (Acute Care)
    600 GRANT ST
    GARY, IN 46402
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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