Kajal Patel Puranik (NPI# 1891135620, PAC ID# 7113225392) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1891135620 |
| PAC ID by PECOS | 7113225392 |
| Professional Enrollment ID | I20160803000058 |
| Full Name | Kajal Patel Puranik |
| Organization Legal Name | PORTER PHYSICIAN SERVICES LLC |
| Address |
3630 Willowcreek Rd Portage Medical Group Portage IN 46368-5075 |
| Phone Number | 2197591157 |
| Gender | F |
| Graduation Year | 2013 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 1850482407 |
| Number of Group Practice Members | 93 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150035 | PORTER REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3630 Willowcreek Rd, Portage Medical Group, Portage, IN 46368-5075 | 2197591157 | PORTER PHYSICIAN SERVICES LLC |
| Organization Legal Name | PORTER PHYSICIAN SERVICES LLC |
| Physicians | 89 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cristina Lubash | Nurse Practitioner | Porter Physician Services LLC | 401 Wall St, Unit F, Valparaiso, IN 46383-2585 |
| Hector Marchand Jr. | Internal Medicine | Porter Physician Services LLC | 1231 Cumberland Xing, Valparaiso, IN 46383-2192 |
| Geoffrey M Schwartz | Otolaryngology | Porter Physician Services LLC | 3630 Willowcreek Rd, Portage Medical Group, Portage, IN 46368-5075 |
| Geraldine G Feria | Internal Medicine | Porter Physician Services LLC | 306 S Ohio St, Wanatah, IN 46390-9436 |
| Donald J Maddack | Family Medicine | Porter Physician Services LLC | 650 Dickinson Rd, Chesterton, IN 46304-3387 |
| Michael Keenan | Otolaryngology | Porter Physician Services LLC | 2802 Leonard Dr, Valparaiso, IN 46383-7136 |
| Douglas A Mazurek | Critical Care (intensivists) | Porter Physician Services LLC | 650 Dickinson Rd, Suite A, Chesterton, IN 46304-3387 |
| Theodore L Stern | Family Medicine | Porter Physician Services LLC | 650 Dickinson Rd, Chesterton, IN 46304-3387 |
| Michael Christopher Hansen | Critical Care (intensivists) | Porter Physician Services LLC | 85 E Us Hwy 6, Valparaiso, IN 46383-8947 |
| Michelle Marie Dicostanzo | Family Medicine | Porter Physician Services LLC | 650 Dickinson Rd, Chesterton, IN 46304-3387 |
| Street Address |
3630 WILLOWCREEK RD PORTAGE MEDICAL GROUP |
| City | PORTAGE |
| State | IN |
| Zip | 46368-5075 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Geoffrey M Schwartz | Otolaryngology | Porter Physician Services LLC | 3630 Willowcreek Rd, Portage Medical Group, Portage, IN 46368-5075 |
| Neil D Shaffer | Emergency Medicine | North Indiana Emergency Physicians LLP | 3630 Willowcreek Rd, Portage, IN 46368-5075 |
| Vijaya Kumari Chapala | Internal Medicine | Porter Physician Services LLC | 3630 Willowcreek Rd, Portage Medical Group, Portage, IN 46368-5075 |
| Elizabeth Sobczak | Nurse Practitioner | Porter Physician Services LLC | 3630 Willowcreek Rd, Portage Medical Group, Portage, IN 46368-5075 |
| Sirus A Kermani | Emergency Medicine | North Indiana Emergency Physicians LLP | 3630 Willowcreek Rd, Portage, IN 46368-5075 |
| Samara Ellen Kester | Emergency Medicine | North Indiana Emergency Physicians LLP | 3630 Willowcreek Rd, Portage, IN 46368-5075 |
| Vishnuvardan R Rao | Emergency Medicine | North Indiana Emergency Physicians LLP | 3630 Willowcreek Rd, Portage, IN 46368-5075 |
| Baqhar Mohideen | Pulmonary Disease | 3630 Willowcreek Rd, Suite 3, Portage, IN 46368-5075 | |
| Abdus S Lakhani | Internal Medicine | Shifa Clinic PC | 3630 Willowcreek Rd, Portage, IN 46368-5075 |
| Ranga Rao Kota | Gastroenterology | 3630 Willowcreek Rd, Portage, IN 46368-5075 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey R Robertson | Clinical Social Worker | 6840 Prairie Run Ave, Portage, IN 46368-2665 | |
| Carol Barbara Hillmann | Clinical Psychologist | 2610 Portage Mall, Portage, IN 46368-3008 | |
| Kim Paul Cory | Optometry | 6509 Central Ave, Portage, IN 46368-3101 | |
| Scott A Cory | Ophthalmology | 6509 Central Ave, Portage, IN 46368-3101 | |
| Daniel R Dewar | Chiropractic | Dewar Chiropractic Inc. | 2686 Willowcreek Rd B, Portage, IN 46368-3550 |
| Michael A Villanueva | Chiropractic | Dewar Chiropractic Inc. | 2686 Willowcreek Rd B, Portage, IN 46368-3550 |
| Jesse T Murphy | Podiatry | Podiatric Medical Associates PC | 6289 Central Ave, Portage, IN 46368-3725 |
| David Parks | Psychologist, Clinical | 6337 Central Ave, Portage, IN 46368-3801 | |
| Jaclyn Renee Stitt | Chiropractic | 6325 Central Ave, Portage, IN 46368-3801 | |
| Shreyas Arvind Desai | Internal Medicine | Internal Medicine,geriatrics and Oncology Group, P.C. | 2640 Hamstrom Rd, Portage, IN 46368-3832 |
| Find all physicians in zip 46368 | |||
| City | PORTAGE |
| Zip Code | 46368 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | PORTAGE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Kajal Patel Puranik.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.