NPI 1467851139

Great Lakes Healthcare Specialists LLC

Organisation Otolaryngology/Facial Plastic Surgery Physician Highland, IN

Practice location

Address: 2211 Main St STE 1a, Highland, IN 46322-3514
Phone: (219) 836-9368
Fax: (219) 836-9357

Authorised official

Name: Shridhar Ventrapragada
Title: Owner
Phone: (219) 836-9368

Registered specialties

Otolaryngology/Facial Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207YX0905X

Other Otolaryngology providers in Indiana →

Registry record

NPI: 1467851139
Entity type: Organization
NPI issued: 19 Aug 2014
Record last updated: 20 Jan 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.