Nair, Sudeep

Nair, Sudeep is an individual health care provider with primary practice located at 602 S 42Nd St Suite B, Mount Vernon IL 62864-6264. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Nair, Sudeep can be contacted via phone (618) 899-3777.

Contact Information

Primary practice address
602 S 42Nd St Suite B Mount Vernon IL 62864-6264
Phone: (618) 899-3777
Fax: (618) 242-2378
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036092998 Illinois

Profile Details

NPI number 1376582999
LBN Legal business name Nair, Sudeep
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Dec 1st, 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 1376582999 NPPES
Illinois Other CK7203 RR GROUP NUMBER
Illinois Other 110143249 RR GROUP NUMBER
Illinois MEDICAID 036092998 RR GROUP NUMBER
Illinois Other 04108653 RR GROUP NUMBER

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