Sardesai, Nitin
Sardesai, Nitin is an sole proprietor health care provider with primary practice located at 9307 Calumet Ave Suite D1, Munster IN 46321. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Sardesai, Nitin can be contacted via phone (219) 836-2055.Contact Information
Primary practice address
9307 Calumet Ave Suite D1
Munster IN 46321
Phone: (219) 836-2055
Fax: (219) 836-0355
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 01029300 | Indiana |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 01029300A | Indiana |
Profile Details
| NPI number | 1518926419 |
|---|---|
| LBN Legal business name | Sardesai, Nitin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 20th, 2006 |
| Last updated | Jul 17th, 2008 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518926419 | NPPES |
| Indiana | MEDICAID | 100200740 | |
| Indiana | MEDICAID | 100200740A |
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