Chandani, Illa
Chandani, Illa is an individual health care provider with primary practice located at 5900 E University Ave Suite 200, Pleasant Hill IA 50327-8457. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Chandani, Illa can be contacted via phone (515) 643-2400.Contact Information
Primary practice address
5900 E University Ave Suite 200
Pleasant Hill IA 50327-8457
Phone: (515) 643-2400
Fax: (515) 643-4766
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 34321 | Iowa |
Profile Details
| NPI number | 1346256179 |
|---|---|
| LBN Legal business name | Chandani, Illa |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 1st, 2006 |
| Last updated | Apr 10th, 2009 - about 15 years ago |
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 | 1346256179 | NPPES |
| Iowa | MEDICAID | 3248781 |
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