Whalio Doctors

NPI 1164778379

Bo Ra Nam, MD

Practitioner Hospitalist Physician Crown Point, IN

Practice location

Address
12750 St Francis Dr, Crown Point, IN 46307-0264
Phone
(219) 757-6121
Fax
(219) 681-6897
Mailing address
PO Box 781076, Detroit, MI 48278-1076

Registered specialties (3)

Hospitalist Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208M00000X Licence 01075472A (IN)
Family Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 01075472A (IN)
Family Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence NAMMT201650 (PA)

Registry record

NPI
1164778379
Entity type
Individual
Sex (as registered)
Female
NPI issued
25 Jul 2012
Record last updated
15 Jan 2024

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.