Pandya, Kaushik Jayantilal
Pandya, Kaushik Jayantilal is an sole proprietor health care provider with primary practice located at 17029 Harlem Ave , Tinley Park IL 60477-2739. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Pandya, Kaushik Jayantilal can be contacted via phone (708) 532-8800.Contact Information
Primary practice address
17029 Harlem Ave
Tinley Park IL 60477-2739
Phone: (708) 532-8800
Fax: (708) 532-5330
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 036-062045 | Illinois |
Profile Details
| NPI number | 1396719803 |
|---|---|
| LBN Legal business name | Pandya, Kaushik Jayantilal |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 14th, 2006 |
| Last updated | Dec 11th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396719803 | NPPES |
| Illinois | MEDICAID | 036062045 |
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