Muniyappa, Pravin Kumar

Muniyappa, Pravin Kumar is an sole proprietor health care provider with primary practice located at 2525 S Michigan Ave 2-614, Chicago IL 60616-2315. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as his primary health care specialty. Muniyappa, Pravin Kumar can be contacted via phone (312) 945-8640.

Contact Information

Primary practice address
2525 S Michigan Ave 2-614 Chicago IL 60616-2315
Fax: (312) 626-2170
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 036105193 Illinois

Profile Details

NPI number 1922040542
LBN Legal business name Muniyappa, Pravin Kumar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 11th, 2006
Last updated Nov 6th, 2015 - about 10 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 1922040542 NPPES
Illinois MEDICAID 036105193
Illinois MEDICAID 00A782820

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