Panduranga R Kini Md, Ltd

LBN: Panduranga R Kini Md, Ltd
Panduranga R Kini Md, Ltd is an health care organization with primary practice located at 7 Park Pl Ste A , Swansea IL 62226-2916. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as the primary health care specialty. Panduranga R Kini Md, Ltd can be contacted via phone (618) 233-1151, or through Kini, Panduranga R via phone (618) 233-1151.

Contact Information

Primary practice address
7 Park Pl Ste A Swansea IL 62226-2916
Phone: (618) 233-1151
Fax: (618) 235-1079
Website:
Map and Directions
Authorized official contact:
Name: Kini, Panduranga R Doctor of Medicine (MD)
Phone: (618) 233-1151

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 036064310 Illinois

Profile Details

NPI number 1225266984
LBN Legal business name Panduranga R Kini Md, Ltd
DBA Doing business as
Authorized official Kini, Panduranga R Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 1st, 2009
Last updated Oct 6th, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225266984 NPPES
Other 08200528 BCBS
Other 130000629 BCBS
Other 100708 BCBS
Other 34490 BCBS
Other 4000537 BCBS
MEDICAID 036064310 BCBS

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