Mohapatra, Sunita
Mohapatra, Sunita is an sole proprietor health care provider with primary practice located at 1501 S California Ave , Chicago IL 60608-1732. She recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as her primary health care specialty. Mohapatra, Sunita can be contacted via phone (773) 257-6828.Contact Information
Primary practice address
1501 S California Ave
Chicago IL 60608-1732
Phone: (773) 257-6828
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 036-091056 | Illinois |
Profile Details
| NPI number | 1629062328 |
|---|---|
| LBN Legal business name | Mohapatra, Sunita |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 8th, 2005 |
| Last updated | Feb 21st, 2012 - about 14 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 | 1629062328 | NPPES |
| Illinois | MEDICAID | 036-091056-2 |
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