KATHRYN H MULLIGAN MD NPI 1508826678

NPI Information

NPI: 1508826678
Provider Name: KATHRYN H MULLIGAN, MD
Classification: Internal Medicine - 207RG0300X
Entity Type: Individual

Specialization: Geriatric Medicine

Address:
919 MAIN ST
STE 102
DYER, IN
ZIP 46311
Phone: (219) 934-2492
Get Directions

Kathryn H Mulligan, MD is a geriatric medicine internal medicine in Dyer, IN. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. Kathryn H Mulligan, MD NPI is 1508826678. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

919 MAIN ST
STE 102
DYER, IN
ZIP 46311-717
Phone: (219) 934-2492
Fax: (219) 934-2493

The enumeration date for this NPI number is 3/24/2006 and was last updated on 12/3/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RG0300X	Internal Medicine	Geriatric Medicine	01052342	INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	200301400	MEDICAID	INDIANA
2	C48087	MEDICARE UPIN
3	499500 LL	MEDICARE PIN	INDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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