IndividualActive
John Dougherty
NPI 1053722934 · Infectious Disease Physician · Valparaiso, IN
Provider details
- NPI number
- 1053722934
- Entity type
- Individual
- Primary specialty
- Infectious Disease PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- 01091630A (IN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
56 Willow St
Valparaiso, IN 46383-4223
Phone: (219) 309-7254
Approximate (ZIP-level) locationGet directions
Mailing address
56 Willow St
Valparaiso, IN 46383-4223
Registry dates
- Enumerated
- 2014-05-14
- Last updated
- 2026-01-26
- Certified
- 2026-01-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.