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General NPI Number Information
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NPI Number | 1225183262
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Entity Type | Organization
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Legal Business Name | KRISHNA V NADHAN M.D. S.C.
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Dates
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Enumeration Date | 01/23/2007
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 1720 W ALGONQUIN RD 104
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City | MOUNT PROSPECT
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State | IL
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Zip | 60056-5400
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Country | US
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Telephone | 847-437-7575
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Fax | 847-437-7589
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Provider Business Mailing Address
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Address Line | 1720 W ALGONQUIN RD 104
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City | MOUNT PROSPECT
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State | IL
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Zip | 60056-5400
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Country | US
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Telephone | 847-437-7575
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Fax | 847-437-7589
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. KRISHNA V NADHAN
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Credential | M.D.
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Telephone | 847-437-7575
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 036084273
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License Number State | IL
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