Sadrameli, Mitra
Sadrameli, Mitra is an sole proprietor health care provider with primary practice located at 1201 S Prairie Ave Apt 4901 , Chicago IL 60605-3570. She recently has only one registered license in Dental Providers / Oral and Maxillofacial Radiology, which is considered as her primary health care specialty. Sadrameli, Mitra can be contacted via phone (312) 966-6307.Contact Information
Primary practice address
1201 S Prairie Ave Apt 4901
Chicago IL 60605-3570
Phone: (312) 966-6307
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Oral and Maxillofacial Radiology | 1223X0008X | 019.030434 | Illinois |
Profile Details
NPI number | 1871950741 |
---|---|
LBN Legal business name | Sadrameli, Mitra |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 24th, 2016 |
Last updated | Jan 24th, 2016 - about 8 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 | 1871950741 | NPPES |
Illinois | Other | 019.030434 | STATE OF ILLINOIS, DEPARTMENT OF FINANCIAL & PROFESSIONAL REGULATION |
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