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
Phone: (708) 338-9387
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1730110156 | NPPES |
Illinois | MEDICAID | 036054216 | |
Illinois | Other | 01607050 | |
Illinois | Other | 050058531 |
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