Northwest Indiana Radiation Oncology Group, LLC

NPI #1255610440 in Hobart, Indiana

Provider Information

NPI Number: 1255610440
Entity Type: Organization
Organization Name: Northwest Indiana Radiation Oncology Group, LLC
Primary Specialty: Specialist
Enumeration Date: Aug 5, 2011
Last Updated: Nov 17, 2011

Practice Location

Address: 300 W 61ST AVE
City: Hobart
State: Indiana
ZIP Code: 46342-6490
Phone: (219) 942-5745

Authorized Official

Name: DR. KOPPOLU P SARMA, MD
Title: MEDICAL DIRECTOR
Phone: (219) 942-5745

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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