Chaudhry, Mukesh
Chaudhry, Mukesh is an sole proprietor health care provider with primary practice located at 1175 Cedar Ct , Carbondale IL 62901-5333. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Chaudhry, Mukesh can be contacted via phone (618) 549-0300.Contact Information
Primary practice address
1175 Cedar Ct
Carbondale IL 62901-5333
Phone: (618) 549-0300
Fax: (618) 549-0600
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036-107111 | Illinois |
Profile Details
| NPI number | 1508866559 |
|---|---|
| LBN Legal business name | Chaudhry, Mukesh |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 29th, 2005 |
| Last updated | Jan 11th, 2011 - about 13 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 | 1508866559 | NPPES |
| Illinois | MEDICAID | 036-107111 |
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