KOPPOLU P SARMA MD INC; NPI #1942257019

Contact Information

KOPPOLU P SARMA MD INC

300 W 61ST AVE
CENTER FOR IMAGING AND RADIATION
HOBART, IN 46342-6490

Phone: 219-942-5745
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Radiation Oncology	2085R0001X	92	Physician/Radiation Oncology

Indicates primary specialty

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NPI Profile & details for KOPPOLU P SARMA MD INC

NPI # 1942257019

LBN Legal business name KOPPOLU P SARMA MD INC

Authorized official KOPPOLU SARMA - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 05/27/2006

Last updated 10/26/2011 - About 15 years ago

Identifiers

IN	License #	01027669A
IN	Medicaid	100213740A
IN	Medicaid	200008710A

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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