CLAUDETTE DANDRIDGE M.D. NPI 1245502947

NPI Information

NPI: 1245502947
Provider Name: CLAUDETTE DANDRIDGE M.D.
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
720 W 5TH AVE
GARY, IN
ZIP 46402
Phone: (219) 882-0262
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CLAUDETTE DANDRIDGE M.D. is a primary care clinic center in Gary, IN. CLAUDETTE DANDRIDGE M.D. NPI is 1245502947. The provider is registered as an organization entity type.

The provider's business location address is:

720 W 5TH AVE
GARY, IN
ZIP 46402-808
Phone: (219) 882-0262
Fax: (219) 882-0515

The provider's authorized official is Claudette R Dandridge .
The authorized official title is Ceo and has the following contact phone number (219) 882-0262.

The enumeration date for this NPI number is 1/27/2012 and was last updated on 1/27/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	01036379	INDIANA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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