Nagubadi, Sandhya

Nagubadi, Sandhya is an individual health care provider with primary practice located at 12800 S Ridgeland Ave Ste E , Palos Heights IL 60463-2391. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Nagubadi, Sandhya can be contacted via phone (708) 429-3700.

Contact Information

Primary practice address
12800 S Ridgeland Ave Ste E Palos Heights IL 60463-2391
Phone: (708) 429-3700
Fax: (708) 429-4460
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036-111326 Illinois

Profile Details

NPI number 1043262207
LBN Legal business name Nagubadi, Sandhya
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Dec 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 1043262207 NPPES
Illinois Other 36-4295605 TAX IDENTIFICATION NUMBER
Illinois MEDICAID 036111326 TAX IDENTIFICATION NUMBER
Illinois Other 01622760 TAX IDENTIFICATION NUMBER

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