Healthcare Provider Details

I. General information

NPI: 1689841165
Provider Name (Legal Business Name): WOMEN'S 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

3630 WILLOWCREEK RD
PORTAGE IN
46368-5075
US

IV. Provider business mailing address

101 W 61ST AVE
HOBART IN
46342-6486
US

V. Phone/Fax

Practice location:
  • Phone: 219-759-1389
  • Fax: 219-759-3426
Mailing address:
  • Phone: 219-945-4965
  • Fax: 219-947-1402

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number01053230A
License Number StateIN

VIII. Authorized Official

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