Healthcare Provider Details

I. General information

NPI: 1881874329
Provider Name (Legal Business Name): WOMEN'S WELLNESS HEALTH NETWORK
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/13/2007
Last Update Date: 11/13/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9136 COLUMBIA AVE
MUNSTER IN
46321-2907
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: 219-947-3030
  • Fax: 219-947-3838

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

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