NPI Profile for LA PORTE HOSPITAL COMPANY LLC in LA PORTE, IN.
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Cardiovascular Disease |
207RC0000X | 11 | Physician/Internal Medicine | |
Anatomic Pathology |
207ZP0101X | 22 | Physician/Pathology | |
Anatomic Pathology & Clinical Pathology |
207ZP0102X | 22 | Physician/Pathology | |
Chemical Pathology |
207ZP0104X | 22 | Physician/Pathology | |
Clinical Pathology |
207ZC0006X | 22 | Physician/Pathology | |
Hematology |
207ZH0000X | 22 | Physician/Pathology | |
Immunopathology |
207ZI0100X | 22 | Physician/Pathology | |
Medical Microbiology |
207ZM0300X | 22 | Physician/Pathology | |
Neuropathology |
207ZN0500X | 22 | Physician/Pathology | |
Pathology |
207ZC0008X |
| NPI Number | 1619323813 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 05/06/2016 | |
| Last updated | 08/12/2022 - About 4 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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