Pandya, Kaushik Jayantilal

Pandya, Kaushik Jayantilal is an sole proprietor health care provider with primary practice located at 17029 Harlem Ave , Tinley Park IL 60477-2739. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Pandya, Kaushik Jayantilal can be contacted via phone (708) 532-8800.

Contact Information

Primary practice address
17029 Harlem Ave Tinley Park IL 60477-2739
Phone: (708) 532-8800
Fax: (708) 532-5330
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036-062045 Illinois

Profile Details

NPI number 1396719803
LBN Legal business name Pandya, Kaushik Jayantilal
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 14th, 2006
Last updated Dec 11th, 2021 - about 5 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 1396719803 NPPES
Illinois MEDICAID 036062045

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