Pandya, Bakul K
Pandya, Bakul K is an sole proprietor health care provider with primary practice located at 75 129Th Infantry Dr , Joliet IL 60435-5134. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Pandya, Bakul K can be contacted via phone (815) 714-2301.Contact Information
Primary practice address
75 129Th Infantry Dr
Joliet IL 60435-5134
Phone: (815) 714-2301
Fax: (815) 741-2348
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 036054898 | Illinois |
Profile Details
| NPI number | 1104814342 |
|---|---|
| LBN Legal business name | Pandya, Bakul K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 12th, 2005 |
| Last updated | Jul 25th, 2008 - about 17 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 | 1104814342 | NPPES |
| Illinois | MEDICAID | 036054898 |
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