Healthcare Provider Details
I. General information
NPI: 1699653493
Provider Name (Legal Business Name): MIDWEST FAMILY MEDICAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/21/2025
Last Update Date: 02/07/2026
Certification Date: 02/07/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
10010 DONALD S POWERS DR
MUNSTER IN
46321-4054
US
IV. Provider business mailing address
10010 DONALD S POWERS DR
MUNSTER IN
46321-4054
US
V. Phone/Fax
- Phone: 219-934-4280
- Fax: 219-922-5903
- Phone: 219-934-4280
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
MOHAN
KESANI
Title or Position: OWNER
Credential: MD
Phone: 219-934-4280