Samant, Sandeep

Samant, Sandeep is an individual health care provider with primary practice located at 675 N Saint Clair St Ste 15-200 , Chicago IL 60611-5967. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Samant, Sandeep can be contacted via phone (312) 695-8182.

Contact Information

Primary practice address
675 N Saint Clair St Ste 15-200 Chicago IL 60611-5967
Phone: (312) 695-8182
Fax: (312) 695-4303
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 036136962 Illinois
Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck 207YX0007X 32238 Tennessee

Profile Details

NPI number 1396701942
LBN Legal business name Samant, Sandeep
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2006
Last updated Aug 31st, 2020 - about 4 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 1396701942 NPPES
Tennessee MEDICAID 3846847

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