Pradeep A Keni M D S C

LBN: Pradeep A Keni M D S C
Pradeep A Keni M D S C is an health care organization with primary practice located at 6420 W 127Th St Ste 106 , Palos Heights IL 60463-2297. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Pradeep A Keni M D S C can be contacted via phone (708) 371-3090, or through Keni, Pradeep A via phone (708) 371-3090.

Contact Information

Primary practice address
6420 W 127Th St Ste 106 Palos Heights IL 60463-2297
Phone: (708) 371-3090
Fax: (708) 371-1529
Website:
Map and Directions
Authorized official contact:
Name: Keni, Pradeep A Doctor of Medicine (MD)
Phone: (708) 371-3090

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 0360-46184 Illinois

Profile Details

NPI number 1235231366
LBN Legal business name Pradeep A Keni M D S C
DBA Doing business as
Authorized official Keni, Pradeep A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 1st, 2006
Last updated Jul 16th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235231366 NPPES
Illinois MEDICAID 036046184
Illinois Other 21604442

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