Hasanat, Khondakar A

Hasanat, Khondakar A is an individual health care provider with primary practice located at 12255 S 80Th Ave Suite 202, Palos Heights IL 60463-1270. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Hasanat, Khondakar A can be contacted via phone (708) 923-7878.

Contact Information

Primary practice address
12255 S 80Th Ave Suite 202 Palos Heights IL 60463-1270
Phone: (708) 923-7878
Fax: (708) 923-7888
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 036098281 Illinois

Profile Details

NPI number 1902907116
LBN Legal business name Hasanat, Khondakar A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2006
Last updated Nov 29th, 2021 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1902907116 NPPES
Illinois MEDICAID 036098281

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