Pradhan, Sanjeev Kumar
Pradhan, Sanjeev Kumar is an individual health care provider with primary practice located at 20060 Governors Dr Ste 300B , Olympia Fields IL 60461-1029. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Pradhan, Sanjeev Kumar can be contacted via phone (708) 821-7794.Contact Information
Primary practice address
20060 Governors Dr Ste 300B
Olympia Fields IL 60461-1029
Phone: (708) 821-7794
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 036-120607 | Illinois |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 036-120607 | Illinois |
Profile Details
| NPI number | 1750557658 |
|---|---|
| LBN Legal business name | Pradhan, Sanjeev Kumar |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 1st, 2008 |
| Last updated | Jun 6th, 2023 - 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 | 1750557658 | NPPES |
| Illinois | MEDICAID | 036120607 | |
| Illinois | MEDICAID | 200913040B | |
| Illinois | Other | 01618941 |
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