Madhupa Sud Md Sc

LBN: Madhupa Sud Md Sc
Madhupa Sud Md Sc is an health care organization with primary practice located at 45 W 111Th St , Chicago IL 60628. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Madhupa Sud Md Sc can be contacted via phone (773) 995-3460, or through Sud, Madhupa via phone (773) 995-3460.

Contact Information

Primary practice address
45 W 111Th St Chicago IL 60628
Phone: (773) 995-3460
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Sud, Madhupa Doctor of Medicine (MD)
Phone: (773) 995-3460

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036063319 Illinois

Profile Details

NPI number 1063886760
LBN Legal business name Madhupa Sud Md Sc
DBA Doing business as
Authorized official Sud, Madhupa Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 18th, 2015
Last updated Nov 18th, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063886760 NPPES
Illinois MEDICAID 036063319

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