Pai, Durga K

Pai, Durga K is an individual health care provider with primary practice located at 101 W University Ave , Champaign IL 61820-3909. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is her primary health care specialty. Pai, Durga K can be contacted via phone (217) 366-1285.

Contact Information

Primary practice address
101 W University Ave Champaign IL 61820-3909
Phone: (217) 366-1285
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X 01068868 Indiana
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 125-046842 Illinois
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 01068868 Indiana

Profile Details

NPI number 1164639985
LBN Legal business name Pai, Durga K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2007
Last updated Jan 5th, 2022 - about 4 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 1164639985 NPPES
Indiana MEDICAID 201011820

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