Pithadia, Anish Pravin
Pithadia, Anish Pravin is an individual health care provider with primary practice located at 3633 W Lake Ave Ste 108 , Glenview IL 60026-5801. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Pithadia, Anish Pravin can be contacted via phone (847) 510-2805.Contact Information
Primary practice address
3633 W Lake Ave Ste 108
Glenview IL 60026-5801
Phone: (847) 510-2805
Fax: (847) 510-2806
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036-116564 | Illinois |
Profile Details
NPI number | 1417074774 |
---|---|
LBN Legal business name | Pithadia, Anish Pravin |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 23rd, 2007 |
Last updated | Nov 14th, 2022 - about 2 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 | 1417074774 | NPPES |
Illinois | Other | 1619414 | BCBS GRP |
Illinois | MEDICAID | 3633309286030501 | BCBS GRP |
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