Kadiyala, Lolichandra

Kadiyala, Lolichandra is an individual health care provider with primary practice located at 110 W Calendar Ave L, La Grange IL 60525-2325. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Kadiyala, Lolichandra can be contacted via phone (516) 353-7734.

Contact Information

Primary practice address
110 W Calendar Ave L La Grange IL 60525-2325
Phone: (516) 353-7734
Fax: (708) 578-2408
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036.126998 Illinois

Profile Details

NPI number 1659678076
LBN Legal business name Kadiyala, Lolichandra
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2011
Last updated Mar 16th, 2021 - about 5 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 1659678076 NPPES
Illinois MEDICAID 036128998

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