Saxena, Sudershan D

Saxena, Sudershan D is an individual health care provider with primary practice located at 7600 W College Dr , Palos Heights IL 60463-1001. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as her primary health care specialty. Saxena, Sudershan D can be contacted via phone (708) 361-5550.

Contact Information

Primary practice address
7600 W College Dr Palos Heights IL 60463-1001
Fax: (708) 361-5624
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 036042090 Illinois

Profile Details

NPI number 1356322820
LBN Legal business name Saxena, Sudershan D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2005
Last updated Jul 23rd, 2010 - about 14 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 1356322820 NPPES
Illinois Other 791053186 RR MEDICARE
Illinois MEDICAID 036042090 RR MEDICARE

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