Gondi, Harsha Canan
Gondi, Harsha Canan is an individual health care provider with primary practice located at 1501 S California Ave , Chicago IL 60608-1732. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Cardiology, which is considered as his primary health care specialty. Gondi, Harsha Canan can be contacted via phone (773) 257-6552.Contact Information
Primary practice address
1501 S California Ave
Chicago IL 60608-1732
Phone: (773) 257-6552
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 036147722 | Illinois |
Profile Details
| NPI number | 1033453519 |
|---|---|
| LBN Legal business name | Gondi, Harsha Canan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 21st, 2012 |
| Last updated | Apr 29th, 2026 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033453519 | NPPES |
| Illinois | MEDICAID | 036147722 |
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