Pundaleeka, Sarode K

Pundaleeka, Sarode K is an individual health care provider with primary practice located at 2614 W Jefferson St , Joliet IL 60435. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Pundaleeka, Sarode K can be contacted via phone (815) 725-1355.

Contact Information

Primary practice address
2614 W Jefferson St Joliet IL 60435
Phone: (815) 725-1355
Fax: (815) 725-9857
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 036052030 Illinois

Profile Details

NPI number 1447245071
LBN Legal business name Pundaleeka, Sarode K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated Jan 20th, 2012 - about 13 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1447245071 NPPES
Illinois Other L98065 MEDICARE INDIV ID# FOR GROUP 205474
Illinois Other 830000578 MEDICARE INDIV ID# FOR GROUP 205474
Illinois MEDICAID 036052030 MEDICARE INDIV ID# FOR GROUP 205474
Illinois Other L29320 MEDICARE INDIV ID# FOR GROUP 205474

Popular Providers