Pavithran, Bindu
Pavithran, Bindu is an individual health care provider with primary practice located at 612 Roxbury Rd , Rockford IL 61107-5089. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Pavithran, Bindu can be contacted via phone (815) 227-8300.Contact Information
Primary practice address
612 Roxbury Rd
Rockford IL 61107-5089
Phone: (815) 227-8300
Fax: (815) 227-8301
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 036110997 | Illinois |
Profile Details
| NPI number | 1548210677 |
|---|---|
| LBN Legal business name | Pavithran, Bindu |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 11th, 2006 |
| Last updated | Sep 12th, 2011 - about 15 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 | 1548210677 | NPPES |
| Illinois | MEDICAID | 036110997 | |
| Illinois | Other | P00847277 | |
| Illinois | Other | 922820 |
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612 Roxbury Rd , Rockford IL 61107-5089