Provider Demographics
NPI:1043514045
Name:BABIES AND KIDZ MEDICAL SPECIALISTS LLC
Entity Type:Organization
Organization Name:BABIES AND KIDZ MEDICAL SPECIALISTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SUDHISH
Authorized Official - Middle Name:
Authorized Official - Last Name:CHANDRA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:219-964-9218
Mailing Address - Street 1:6308 PERSHING RD
Mailing Address - Street 2:
Mailing Address - City:SCHERERVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46375-3451
Mailing Address - Country:US
Mailing Address - Phone:219-964-9218
Mailing Address - Fax:
Practice Address - Street 1:1200 SOUTH MAIN STREET
Practice Address - Street 2:SAINT ANTHONY MEDICAL CENTE
Practice Address - City:CROWN POINT
Practice Address - State:IN
Practice Address - Zip Code:46307-8483
Practice Address - Country:US
Practice Address - Phone:219-738-2100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-05
Last Update Date:2011-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal MedicineGroup - Single Specialty