Patodia, Shobhana

Patodia, Shobhana is an individual health care provider with primary practice located at 1111 Superior Street Suite 206, Melrose Park IL 60160. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is her primary health care specialty. Patodia, Shobhana can be contacted via phone (708) 338-9387.

Contact Information

Primary practice address
1111 Superior Street Suite 206 Melrose Park IL 60160
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 036054216 Illinois
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 036054216 Illinois

Profile Details

NPI number 1730110156
LBN Legal business name Patodia, Shobhana
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Jan 19th, 2010 - about 14 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 1730110156 NPPES
Illinois MEDICAID 036054216
Illinois Other 01607050
Illinois Other 050058531

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