Dr SHANMUGHAM VADIVELU MD is a male medical professional, specializing in Anesthesiology. He graduated in 1976.
LA PORTE COUNTY ANESTHESIA ASSOCIATES, LLC
3500 FRANCISCAN WAY
MICHIGAN CITY
IN
463600021
Tel: 2198710933
| Npi | 1902806193 |
| Pac Id | 1153358247 |
| Professional Enrollment Id | I20050720000612 |
| Last Name | VADIVELU |
| First Name | SHANMUGHAM |
| Middle Name | |
| Suffix | |
| Gender | M |
| Credential | MD |
| Medical School Name | OTHER |
| Graduation Year | 1976 |
| Primary Specialty | ANESTHESIOLOGY |
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| Organization Legal Name | LA PORTE COUNTY ANESTHESIA ASSOCIATES, LLC |
| Group Practice Pac Id | 4688633241 |
| Number Of Group Practice Members | 20 |
| Line 1 Street Address | 3500 FRANCISCAN WAY |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | MICHIGAN CITY |
| State | IN |
| Zip Code | 463600021 |
| Phone Number | 2198710933 |
| Hospital Affiliation Ccn 1 | 150015 |
| Hospital Affiliation Lbn 1 | FRANCISCAN ST ANTHONY HEALTH - MICHIGAN CITY |
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| Professional Accepts Medicare Assignment | Y |
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