Dhananjaya, Neetha

Dhananjaya, Neetha is an individual health care provider with primary practice located at 675 W North Ave Ste 309 , Melrose Park IL 60160-1623. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Dhananjaya, Neetha can be contacted via phone (312) 654-2744.

Contact Information

Primary practice address
675 W North Ave Ste 309 Melrose Park IL 60160-1623
Fax: (866) 954-5804
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 036108649 Illinois

Profile Details

NPI number 1720058639
LBN Legal business name Dhananjaya, Neetha
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2006
Last updated May 29th, 2024 - about 6 months 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720058639 NPPES
Illinois MEDICAID 036108649

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