Chillal, Pandurang P

Chillal, Pandurang P is an individual health care provider with primary practice located at 20 Ne Saint Lukes Blvd Suite 350, Lees Summit MO 64086-6001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Chillal, Pandurang P can be contacted via phone (816) 943-0706.

Contact Information

Primary practice address
20 Ne Saint Lukes Blvd Suite 350 Lees Summit MO 64086-6001
Fax: (816) 524-4325
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 04-21994 Kansas

Profile Details

NPI number 1407968753
LBN Legal business name Chillal, Pandurang P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Mar 7th, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407968753 NPPES
Kansas MEDICAID 100207060A

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