Rajendran, Kavitha
Rajendran, Kavitha is an individual health care provider with primary practice located at 5851 W. 95Th Street Suite 300, Oak Lawn IL 60453. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Rajendran, Kavitha can be contacted via phone (708) 499-9980.Contact Information
Primary practice address
5851 W. 95Th Street Suite 300
Oak Lawn IL 60453
Phone: (708) 499-9980
Fax: (708) 499-6203
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 085.006373 | Illinois |
Profile Details
NPI number | 1124538301 |
---|---|
LBN Legal business name | Rajendran, Kavitha |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 2nd, 2017 |
Last updated | Nov 1st, 2018 - about 6 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 | 1124538301 | NPPES |
Illinois | Other | 4111771 | IDFPR |
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