Ricardo Manuel Quezada
Internist Infectious Disease
761 45th Ave Ste. 103
Munster
, Indiana 46321-2893
Ricardo Manuel Quezada
Internist Infectious Disease
761 45th Ave Ste. 103
Munster
, Indiana 46321-2893
(219) 934-2478
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About
Features
Specialties
- Internist
- Infectious Disease
Languages spoken
- English
Location
First Address
- Ricardo Manuel Quezada
- 757 45th Ave Ste. 201
- Munster, IN
- Zip : 46321-2911
- Fax : (219) 934-2478
- Phone : (219) 993-4246
Second Address
- Ricardo Manuel Quezada
- 761 45th Ave Ste. 103
- Munster, IN
- Zip : 46321-2893
- Fax : (219) 922-3003
- Phone : (219) 922-3002
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | 25794 | OK |
| N | 111NI0900X | Internist | 25794 | OK |
| Y | 207RI0200X | Infectious Disease | 01073108A | IN |
National Provider Identifier
| NPI | 1053502435 |
|---|---|
| Provider Name | Ricardo Manuel Quezada |
| First Address | Munster, IN 46321-2911 |
| Second Address | Munster, IN 46321-2893 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/08/2007 |
| Last Update Date | 28/08/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.