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General NPI Number Information
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NPI Number | 1265641195
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Entity Type | Organization
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Legal Business Name | SUNITI MEDICAL CORPORATION
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Dates
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Enumeration Date | 05/21/2007
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Last Update Date | 05/07/2008
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Provider Practice Location Address
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Address Line | 929 RIDGE RD SUITE 5
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City | MUNSTER
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State | IN
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Zip | 46321-1751
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Country | US
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Telephone | 219-836-2000
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Fax | 219-836-8272
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Provider Business Mailing Address
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Address Line | 200 E 89TH AVE SUITE 2A
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City | MERRILLVILLE
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State | IN
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Zip | 46410-7319
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Country | US
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Telephone | 219-736-2800
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Fax | 219-736-6680
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | PEGGY BENDT
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Credential |
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Telephone | 219-736-2800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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