Kumar, Sampath P

Kumar, Sampath P is an individual health care provider with primary practice located at 13755 Cicero Ave , Crestwood IL 60445-1824. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Kumar, Sampath P can be contacted via phone (888) 220-6432.

Contact Information

Primary practice address
13755 Cicero Ave Crestwood IL 60445-1824
Phone: (888) 220-6432
Fax: (708) 385-7840
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 036-096960 Illinois

Profile Details

NPI number 1386630622
LBN Legal business name Kumar, Sampath P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2005
Last updated May 14th, 2015 - about 11 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 1386630622 NPPES
Illinois MEDICAID 036-096-960

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