Basic Information
| Provider Information | |||||||||
| NPI: | 1790035244 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | UMAPATHY MD, PC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 9201 CALUMET AVE | ||||||||
| Address2: | |||||||||
| City: | MUNSTER | ||||||||
| State: | IN | ||||||||
| PostalCode: | 463212807 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2198362022 | ||||||||
| FaxNumber: | 2198360034 | ||||||||
| Practice Location | |||||||||
| Address1: | 4802 BROADWAY | ||||||||
| Address2: | |||||||||
| City: | GARY | ||||||||
| State: | IN | ||||||||
| PostalCode: | 464084509 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2198842011 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 09/12/2012 | ||||||||
| LastUpdateDate: | 09/12/2012 | ||||||||
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| AuthorizedOfficialLastName: | UMAPATHY | ||||||||
| AuthorizedOfficialFirstName: | KUPUSAMY | ||||||||
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| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 2198362022 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RN0300X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine | Nephrology |
No ID Information.