Buddhadev, Pakhadi H

Buddhadev, Pakhadi H is an individual health care provider with primary practice located at 4201 W Medical Center Dr Dept Of , Mchenry IL 60050-8409. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Buddhadev, Pakhadi H can be contacted via phone (815) 759-4323.

Contact Information

Primary practice address
4201 W Medical Center Dr Dept Of Mchenry IL 60050-8409
Phone: (815) 759-4323
Fax: (815) 759-4948
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 63723 Wisconsin
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 63723 Wisconsin
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 036136249 Illinois

Profile Details

NPI number 1003164443
LBN Legal business name Buddhadev, Pakhadi H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2012
Last updated Jul 8th, 2022 - 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 1003164443 NPPES
Wisconsin MEDICAID 1003164443

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