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Contact Information

THEKKUMKATTIL D JAMES, MD
2510 E DUPONT RD
STE 200
FORT WAYNE, IN46825
 Phone: 260-489-6969
 Fax: 260-490-3939
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
 

Adult Medicine

207QA0505X 08 Physician/Family Practice
 

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for THEKKUMKATTIL D JAMES · (Male)

NPI Number 1578523676
Status Active
Credentials MD
Entity Individual
Enumeration date 03/24/2006
Last updated 09/25/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 01034777B
  • IN Medicaid 100080860
  • IN Other 000000690072 ANTHEM
Hospital affiliation(s) Not Available
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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