Rajan, Prabha
Rajan, Prabha is an individual health care provider with primary practice located at 2160 S First Ave (Ems Bldg., Rm. 2209), Maywood IL 60153. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology, which is considered as her primary health care specialty. Rajan, Prabha can be contacted via phone (708) 216-3250.Contact Information
Primary practice address
2160 S First Ave (Ems Bldg., Rm. 2209)
Maywood IL 60153
Phone: (708) 216-3250
Fax: (708) 216-2620
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology | 207ZP0101X | 36108172 | Illinois |
Profile Details
| NPI number | 1205815305 |
|---|---|
| LBN Legal business name | Rajan, Prabha |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 17th, 2006 |
| Last updated | Mar 4th, 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 | 1205815305 | NPPES |
| Illinois | MEDICAID | 36108172 |
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