Healthcare Provider Details

I. General information

NPI: 1104093640
Provider Name (Legal Business Name): WOMENS MEDICAL CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2008
Last Update Date: 05/14/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 RIDGE RD
MUNSTER IN
46321-1574
US

IV. Provider business mailing address

101 W 61ST AVE
HOBART IN
46342-6486
US

V. Phone/Fax

Practice location:
  • Phone: 219-836-0000
  • Fax: 219-836-2788
Mailing address:
  • Phone: 219-945-4965
  • Fax: 219-947-1402

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number01027579A
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number01049865A
License Number StateIN
# 3
Primary TaxonomyN
Taxonomy Code207VX0201X
TaxonomyGynecologic Oncology Physician
License Number01031561A
License Number StateIN
# 4
Primary TaxonomyN
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number01031776A
License Number StateIN
# 5
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number0105820A
License Number StateIN

VIII. Authorized Official

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