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NPI Code Detail

MEDICARE: DR. SAJIV JOHN M.D.

MEDICARE:  DR. SAJIV  JOHN  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084F0202XForensic Psychiatry Physician01045604AIN
22084P0800XPsychiatry Physician01045604AIN
32084P0802XAddiction Psychiatry Physician01045604AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1457348591
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SAJIV JOHN M.D.
Provider Business Mailing Address
First Line : 1131 TURNBERRY DR
Second Line :
City : SCHERERVILLE
State : IN
Zip : 46375-2935
Country : US
Telephone Number : 219-322-8936
Fax Number :
Provider Business Practice Location Address
First Line : 601 WALL ST
Second Line :
City : VALPARAISO
State : IN
Zip : 46383-2512
Country : US
Telephone Number : 219-531-3500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2005
Last Update Date : 11/25/2020

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Directions to “ DR. SAJIV JOHN M.D.” Practice Location

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