Sriram, Vidya
Sriram, Vidya is an individual health care provider with primary practice located at 1225 W Lake St , Melrose Park IL 60160-4039. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Sriram, Vidya can be contacted via phone (708) 938-7607.Contact Information
Primary practice address
1225 W Lake St
Melrose Park IL 60160-4039
Phone: (708) 938-7607
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 036081251 | Illinois |
Profile Details
| NPI number | 1922104967 |
|---|---|
| LBN Legal business name | Sriram, Vidya |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 16th, 2006 |
| Last updated | Sep 8th, 2009 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922104967 | NPPES |
| Other | P00032904 | RAILROAD MEDICARE | |
| Other | 36412532002 | RAILROAD MEDICARE | |
| Other | 01621061 | RAILROAD MEDICARE | |
| MEDICAID | 036081251 | RAILROAD MEDICARE |
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