DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

WANDA AVERHART, M.D.

Active Sole Proprietor

Pediatrics · LAKE STATION, IN

Registration Details

NPI Number
1598184632
Provider Type
Individual
Gender
Female
NPI Issued
Apr 15, 2014 (12.078728659349 yrs)
Last Updated
Aug 31, 2022
License
01088252A (IN)
Sole Proprietor
Yes

Practice Information

Address
2490 CENTRAL AVE
LAKE STATION, IN, 464052122
Browse IN providers · Browse ZIP 46405
Phone
2167645399
Primary Specialty
Pediatrics
208000000X

Other Pediatrics Providers in LAKE STATION, IN

Name Credential NPI
SHAH ALAM CHOWDHURY M.D. 1578563516
DR. RAMADEVI SANKARAN MD 1790992782
SAOUSSAN ALFAHEL MD 1366697427
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.