Shroff, Pranavkumar Pradyuman

Shroff, Pranavkumar Pradyuman is an individual health care provider with primary practice located at 1141 E Main St Suite 105, East Dundee IL 60118-2440. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Shroff, Pranavkumar Pradyuman can be contacted via phone (847) 428-3322.

Contact Information

Primary practice address
1141 E Main St Suite 105 East Dundee IL 60118-2440
Fax: (847) 428-0472
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036128648 Illinois

Profile Details

NPI number 1831330877
LBN Legal business name Shroff, Pranavkumar Pradyuman
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2009
Last updated Aug 22nd, 2023 - about last year

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 1831330877 NPPES
Illinois MEDICAID 036128648

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