Healthcare Provider Details

I. General information

NPI: 1942477435
Provider Name (Legal Business Name): WOMENS MEDICAL CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2008
Last Update Date: 05/13/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10607 RANDOLPH ST
CROWN POINT IN
46307-7504
US

IV. Provider business mailing address

101 W 61ST AVE
HOBART IN
46342-6486
US

V. Phone/Fax

Practice location:
  • Phone: 219-226-1895
  • Fax: 219-226-1528
Mailing address:
  • Phone: 219-945-4965
  • Fax: 219-947-1402

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number01031776A
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number02001822A
License Number StateIN

VIII. Authorized Official

Name: DR. NAVIN BAROT
Title or Position: DIRECTOR
Credential: M.D.
Phone: 219-947-3030