Keni, Pradeep A
Keni, Pradeep A is an sole proprietor health care provider with primary practice located at 6420 W 127Th St Ste 106 , Palos Heights IL 60463-2297. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Keni, Pradeep A can be contacted via phone (708) 371-3090.Contact Information
Primary practice address
6420 W 127Th St Ste 106
Palos Heights IL 60463-2297
Phone: (708) 371-3090
Fax: (708) 371-1529
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 036046184 | Illinois |
Profile Details
| NPI number | 1841485737 |
|---|---|
| LBN Legal business name | Keni, Pradeep A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 13th, 2007 |
| Last updated | Jul 16th, 2020 - about 6 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 | 1841485737 | NPPES |
| Illinois | MEDICAID | 036046184 | |
| Illinois | Other | 21604442 |
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