Gajendrareddy, Praveen Kumar

Gajendrareddy, Praveen Kumar is an individual health care provider with primary practice located at 801 S Paulina St M/C 621, Chicago IL 60612-7210. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Gajendrareddy, Praveen Kumar can be contacted via phone (614) 657-8312.

Contact Information

Primary practice address
801 S Paulina St M/C 621 Chicago IL 60612-7210
Phone: (614) 657-8312
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 021.002403 Illinois

Profile Details

NPI number 1265675680
LBN Legal business name Gajendrareddy, Praveen Kumar
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 15th, 2009
Last updated Dec 13th, 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.

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