Healthcare Provider Details

I. General information

NPI: 1750822250
Provider Name (Legal Business Name): SUHAGI KADAKIA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SUHAGI PARIKH

II. Dates (important events)

Enumeration Date: 03/16/2017
Last Update Date: 08/27/2020
Certification Date: 08/27/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1725 W HARRISON ST STE 710
CHICAGO IL
60612-3863
US

IV. Provider business mailing address

1725 W HARRISON ST STE 710
CHICAGO IL
60612-3863
US

V. Phone/Fax

Practice location:
  • Phone: 312-942-6640
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number036153410
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: