Kurian, Sandhya Tiwade
Kurian, Sandhya Tiwade is an individual health care provider with primary practice located at 1 Professional Drive Suite 220, Alton IL 62002-5068. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Kurian, Sandhya Tiwade can be contacted via phone (618) 463-8574.Contact Information
Primary practice address
1 Professional Drive Suite 220
Alton IL 62002-5068
Phone: (618) 463-8574
Fax: (618) 463-8688
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036-130438 | Illinois |
Profile Details
NPI number | 1053555177 |
---|---|
LBN Legal business name | Kurian, Sandhya Tiwade |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 21st, 2009 |
Last updated | Apr 17th, 2017 - about 8 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1053555177 | NPPES |
Illinois | Other | 207219 | PTAN |
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