Maliekel, Kochurani J

Maliekel, Kochurani J is an individual health care provider with primary practice located at 3851 N Oakley Ave , Chicago IL 60618. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as her primary health care specialty. Maliekel, Kochurani J can be contacted via phone (314) 496-4861.

Contact Information

Primary practice address
3851 N Oakley Ave Chicago IL 60618
Phone: (314) 496-4861
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 036-085939 Illinois
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 2018005701 Missouri

Profile Details

NPI number 1699777813
LBN Legal business name Maliekel, Kochurani J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Oct 23rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699777813 NPPES
Illinois MEDICAID 036085939
Illinois Other K07739

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