Doctor Name: | DR. SANDHYA SAI SATHYAKUMAR |
NPI Number: | 1083835201 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 216783 |
Business Practice Address: | 7900 N. Milwaukee Ste 231 Niles, IL - 60714 |
Business Phone Number: | 8476639400 |
Business Fax Number: | 8476639827 |
Mailing Address: | 7900 N. Milwaukee Ave, Ste 231 NILES |
State: | IL |
Postal Code: | 60714 |
Phone Number: | 8476639400 |
Fax Number: | 8476639827 |
NPI Enumeration Date: | 05/02/2007 |
NPI Last Update Date: | 07/28/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 216783 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |