Keni, Pradeep A

Keni, Pradeep A is an sole proprietor health care provider with primary practice located at 6420 W 127Th St Ste 106 , Palos Heights IL 60463-2297. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Keni, Pradeep A can be contacted via phone (708) 371-3090.

Contact Information

Primary practice address
6420 W 127Th St Ste 106 Palos Heights IL 60463-2297
Phone: (708) 371-3090
Fax: (708) 371-1529
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 036046184 Illinois

Profile Details

NPI number 1841485737
LBN Legal business name Keni, Pradeep A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 13th, 2007
Last updated Jul 16th, 2020 - about 4 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 1841485737 NPPES
Illinois MEDICAID 036046184
Illinois Other 21604442

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