Sankineni, Bhanu Prasad

Sankineni, Bhanu Prasad is an sole proprietor health care provider with primary practice located at 4309 W Medical Center Dr Ste A102 , Mchenry IL 60050-8436. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Sankineni, Bhanu Prasad can be contacted via phone (615) 338-6600.

Contact Information

Primary practice address
4309 W Medical Center Dr Ste A102 Mchenry IL 60050-8436
Phone: (615) 338-6600
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036129148 Illinois
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 64184-20 Wisconsin
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 64184-20 Wisconsin
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 036129148 Illinois

Profile Details

NPI number 1063675619
LBN Legal business name Sankineni, Bhanu Prasad
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 3rd, 2008
Last updated Jan 15th, 2024 - about 11 months 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 1063675619 NPPES
Wisconsin MEDICAID 1063675619

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