Karmakar, Nivedita

Karmakar, Nivedita is an individual health care provider with primary practice located at 1200 W State St , Rockford IL 61102-2112. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Gastroenterology. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Karmakar, Nivedita can be contacted via phone (815) 490-1600.

Contact Information

Primary practice address
1200 W State St Rockford IL 61102-2112
Phone: (815) 490-1600
Fax: (815) 490-1881
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 56251-020 Wisconsin
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X 036117388 Illinois
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036-117388 Illinois

Profile Details

NPI number 1275515462
LBN Legal business name Karmakar, Nivedita
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2005
Last updated Jul 1st, 2019 - about 5 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 1275515462 NPPES
Illinois MEDICAID 036117388
Illinois MEDICAID 1275515462

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