Healthcare Provider Details

I. General information

NPI: 1700759792
Provider Name (Legal Business Name): VELMORA HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2025
Last Update Date: 09/29/2025
Certification Date: 09/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9337 CALUMET AVE STE D
MUNSTER IN
46321-5805
US

IV. Provider business mailing address

244 W CENTRAL AVE
LOMBARD IL
60148-3813
US

V. Phone/Fax

Practice location:
  • Phone: 574-334-0336
  • Fax:
Mailing address:
  • Phone: 574-334-0336
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. NAZAR GOLEWALE
Title or Position: PRESIDENT
Credential: MD
Phone: 574-334-0336