Keshava, Pramode Kumar

Keshava, Pramode Kumar is an individual health care provider with primary practice located at 9119 S Exchange Ave , Chicago IL 60617-4225. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Legal Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Keshava, Pramode Kumar can be contacted via phone (773) 785-6800.

Contact Information

Primary practice address
9119 S Exchange Ave Chicago IL 60617-4225
Phone: (773) 785-6800
Fax: (773) 785-9661
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X 036094000 Illinois
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036.094000 Illinois

Profile Details

NPI number 1285670232
LBN Legal business name Keshava, Pramode Kumar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2006
Last updated Oct 16th, 2019 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285670232 NPPES
Illinois MEDICAID 036094000

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