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Contact Information

PADMANABHA R BETINA, M.D., F.C.C.P.
200 HIGH PARK AVE
GOSHEN, IN46526-4810
 Phone: 312-479-8669
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for PADMANABHA R BETINA · (Male)

NPI Number 1861467854
Status Active
Credentials M.D., F.C.C.P.
Entity Individual
Enumeration date 02/22/2006
Last updated 04/17/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • IN License # 01039980
  • IN Medicaid 100114150
  • IN Other 000000089017 ANTHEM INSURANCE
Hospital affiliation(s)
  • IU HEALTH GOSHEN HOSPITAL - (Acute Care)
    200 HIGH PARK AVE
    GOSHEN, IN 46526
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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