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General NPI Number Information
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NPI Number | 1265391742
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Entity Type | Organization
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Legal Business Name | POWERS HEALTH DIAGNOSTIC GROUP LLC
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Dates
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Enumeration Date | 01/20/2026
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Last Update Date | 01/20/2026
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Provider Practice Location Address
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Address Line | 901 MACARTHUR BLVD
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City | MUNSTER
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State | IN
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Zip | 46321-2901
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Country | US
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Telephone | 219-836-4569
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Fax | 219-836-7090
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Provider Business Mailing Address
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Address Line | 8558 BROADWAY
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City | MERRILLVILLE
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State | IN
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Zip | 46410-7032
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Country | US
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Telephone | 219-392-7084
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Fax | 219-703-6854
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | ALAN KUMAR
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Credential | MD
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Telephone | 219-836-1619
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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