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Contact Information

GERARD I DUPRAT, MD
621 MEMORIAL DR
SUITE 312
SOUTH BEND, IN46601-1063
 Phone: 574-647-5200
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular & Interventional Radiology

2085R0204X 94 Physician/Interventional Radiology
 

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for GERARD I DUPRAT · (Male)

NPI Number 1780679225
Status Active
Credentials MD
Entity Individual
Enumeration date 09/12/2005
Last updated 12/06/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 01036966
  • IN Medicaid 100469090
  • IN Other 000000951356 BCBS BMG VEIN SPECIALIST
  • IN Other 000000773328 BCBS VASCULAR IR
  • IN Other P01088785 RR MEDICARE
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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