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Dr. Teofilo S Bautista, MD,PC
Family Medicine Physician in Gary, Indiana
NPI 1801894076

Teofilo S Bautista is a Family Medicine Physician based in Munster, IN. Teofilo S Bautista practices in Gary, IN and has the professional credentials of MD,PC. The NPI Number for Teofilo S Bautista is 1801894076 and holds a License No. 01032450 (Indiana).

The current practice location address for Teofilo S Bautista is 642 S Lake St, Gary, IN and can be reached out via phone at 219-938-4481 and via fax at 219-938-6480. You can also correspond with Teofilo S Bautista through the mailing address at 8135 CALUMET AVE, MUNSTER, IN - 46321-1701 (mailing address contact number: 219-513-2000).

Location: 642 S Lake St, Gary, IN, 46321-1701
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801894076
Provider Name
Teofilo S Bautista
Credential
MD,PC
Provider Entity Type
Individual
Gender
Male
Address
642 S Lake St, Gary, IN, 46321-1701
Phone Number
219-938-4481
Fax Number
219-938-6480
Provider Enumeration Date
07/12/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100169010A 05 IN
institution
Provider Business Practice Location Address Details
Address
642 S Lake St
City
Gary
State
Indiana
Zip
46403-2967
Phone Number
219-938-4481
Fax Number
219-938-6480
person
Provider Business Mailing Address Details
Address
642 S Lake St
City
Gary
State
Indiana
Zip
46403-2967
Phone Number
219-938-4481
Fax Number
219-938-6480
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
01032450 (Indiana)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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