Neeru Bose, M.D

Primary specialty

Medical Oncology PhysicianTaxonomy code 207RX0202X

License

01072753A Issued in IN

Practice address

342 E 109TH Ave
Crown Point, IN 46307-8693

Phone

(219) 310-2550

Fax

(219) 310-2565

NPI assigned

Jul 29, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: neeru.bose@chtc.ikm.direct-ci.com

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1217289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400716800000",
    "number": "1962668038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "342 E 109TH AVE",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463078693",
            "telephone_number": "219-310-2550",
            "fax_number": "219-310-2565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "342 E 109TH AVE",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463078693",
            "telephone_number": "219-310-2550",
            "fax_number": "219-310-2565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSE",
        "first_name": "NEERU",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-29",
        "last_updated": "2014-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "IN",
            "license": "01072753A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201180600",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ketti R Boller, D.D.S, M.S
• Bret A Bologna, DDS
• Michelle R Bonadies, LCSW
• Artricia Desiree Bonaparte
• Suzanne Jean Bonaventura-Krischke, MSW
• David Boss, DPT
• Kirsten Bovee, OTR/L
• Angela Bowden-Williams, MOTR/L
• Gregory Scott Bowers, PHARMD
• Bradsky Therapy and Mobility, LLC

• Medical Oncology Physician in Crown Point, IN
• Providers in Crown Point, IN by specialty
• Medical Oncology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.