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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871950741 NPPES
Illinois Other 019.030434 STATE OF ILLINOIS, DEPARTMENT OF FINANCIAL & PROFESSIONAL REGULATION

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