Bontu, Udaya
Bontu, Udaya is an individual health care provider with primary practice located at 300 Randall Rd , Geneva IL 60134-4200. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Bontu, Udaya can be contacted via phone (630) 933-4700.Contact Information
Primary practice address
300 Randall Rd
Geneva IL 60134-4200
Phone: (630) 933-4700
Fax: (630) 933-4427
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036091568 | Illinois |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 036091568 | Illinois |
Profile Details
| NPI number | 1255339503 |
|---|---|
| LBN Legal business name | Bontu, Udaya |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 11th, 2005 |
| Last updated | Apr 23rd, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255339503 | NPPES |
| Illinois | Other | P00083896 | RAILROAD MEDICARE |
| Illinois | MEDICAID | 036091568 | RAILROAD MEDICARE |
| Illinois | Other | 610033301 | RAILROAD MEDICARE |
| Illinois | Other | DB0387 | RAILROAD MEDICARE |
| Illinois | Other | 04532170 | RAILROAD MEDICARE |
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