Sothlake Children's Clinic, LLC
NPI #1023380342 in Merrillville, Indiana
Provider Information
- NPI Number
- 1023380342
- Entity Type
- Organization
- Organization Name
- Sothlake Children's Clinic, LLC
- Primary Specialty
- Pediatrics
- Enumeration Date
- Feb 1, 2012
- Last Updated
- Feb 1, 2012
Practice Location
- Address
- 8300 BROADWAY
- Address 2
- SUITE C
- City
- Merrillville
- State
- Indiana
- ZIP Code
- 46410-8602
- Phone
- (219) 738-1916
Authorized Official
- Name
- SRIKIETR DHANA, M.D.
- Title
- OWNER
- Phone
- (219) 738-1916
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
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