Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Chestnut Health of Indiana PC

Organization Internal Medicine Physician · NPI 1730884131

Chestnut Health of Indiana PC is an Internal Medicine Physician in Kokomo, Indiana. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3518 S Lafountain St
Kokomo, IN 46902-3803
Phone: (765) 453-4667
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1730884131
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Omair Siraj — Ceo · (703) 964-8199
NPI enumeratedApril 4, 2023
Last updated in NPPESJuly 11, 2023
Certification dateJuly 11, 2023
Mailing addressPo Box 1294, Bedford Park, IL 60499-1294

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