NANDRA FAMILY PRACTICE, LTD. (NPI# 1629203534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629203534 |
| Entity Type | Organization |
| Organization Name | NANDRA FAMILY PRACTICE, LTD. |
| Practice Address |
115 E South St Unit F Plano IL 60545-1417 |
| Practice Telephone | 6305527166 |
| Practice Fax Number | 6305527168 |
| Mailing Telephone | 6305527166 |
| Mailing Fax Number | 6305527168 |
| Enumeration Date | 2009-05-20 |
| Last Update Date | 2009-05-20 |
| Authorized Official Name | DR. MUKHTAR S NANDRA (PRESIDENT) |
| Authorized Official Telephone | 6305527166 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 036-119568 | IL | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 036-083629 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NPI | 1942373931 | 01 | |
| IL | NPI | 1639358427 | 01 |
| IL | 036-083629 | 05 |
| Street Address |
115 E SOUTH ST UNIT F |
| City | PLANO |
| State | IL |
| Zip Code | 60545-1417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942373931 | Mukhtar Singh Nandra | Family Medicine | 115 E South St, Unit F, Plano, IL 60545-1417 | 2006-11-16 |
| 1104339910 | Swetha Sannareddy | Physician Assistant | 115 E South St, Plano, IL 60545-1417 | 2017-11-15 |
| 1710371307 | Amy Rae Hunte | Physician Assistant | 115 E South St, Unit F, Plano, IL 60545-1417 | 2015-03-23 |
| 1245642099 | Manju Daniel | Nurse Practitioner | 115 E South St, Unit F, Plano, IL 60545-1417 | 2014-05-28 |
| 1639312580 | Dui Counseling Center of Kendall County | Early Intervention Provider Agency | 115 E South St, Plano, IL 60545-1417 | 2009-04-08 |
| 1639358427 | Ravinderpal Singh Nandra | Internal Medicine | 115 E South St, Unit F, Plano, IL 60545-1417 | 2007-10-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598270035 | Thomas John Wade | Speech-Language Pathologist | 430 Mitchell Drive, Plano, IL 60545 | 2017-12-06 |
| 1902310857 | Jodi Sell | Speech-Language Pathologist | Pasec, 800 S Hale St, Plano, IL 60545 | 2017-11-29 |
| 1023161940 | William Yaw-ntaaku Asihene | Surgery | 12700 Us Highway 34, Plano, IL 60545 | 2007-01-22 |
| 1609941319 | Jose G Trevino Sr. | Registered Nurse | 1200 W South St, Plano, IL 60545 | 2006-11-21 |
| 1134205586 | John A Gordon Jr. | Dentist | 901 West Route 34, Suite 103, Plano, IL 60545 | 2006-10-28 |
| 1104853902 | Snehal K Kulkarni | Audiologist | 11000 E. Rt 34, Ste 3, Plano, IL 60545 | 2006-06-27 |
| 1376640730 | Riverglen Ear, Nose & Throat and Audiology, LLC | Otolaryngology | 11000 E. Rt 34, Ste 3, Plano, IL 60545 | 2006-09-20 |
| 1508920828 | Thomas W. Barney | Chiropractor | 200 S. Hale St., Ste. 2, Plano, IL 60545-0188 | 2006-12-21 |
| 1861524233 | Nancy Lynn Reiland | Occupational Therapist | 2009 Bittersweet Dr, Plano, IL 60545-1066 | 2007-03-12 |
| 1407031065 | Reiland Therapy Services, P.C. | Occupational Therapist | 2009 Bittersweet Dr, Plano, IL 60545-1066 | 2008-01-02 |
| Find all providers in zip 60545 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427671981 | Staying Healthy Wellness LLC | Family Medicine | 4700 Dexter Dr Ste 300b, Plano, TX 75093-5294 | 2020-05-19 |
| 1124672811 | Stephen Twyman Md Pllc | Family Medicine | 5700 Tennyson Pkwy Ste 300, Plano, TX 75024-3595 | 2019-07-30 |
| 1073008827 | James D Cable Medical Pllc | Family Medicine | 6020 W Parker Rd Ste 425, Plano, TX 75093-8174 | 2018-06-25 |
| 1609389881 | Nortex Integrated Medicine Pllc | Family Medicine | 1200 Coit Rd Ste 109, Plano, TX 75075-7756 | 2017-11-10 |
| 1124558861 | Mw Wellness Vi, LLC | Family Medicine | 1921 Preston Rd Ste 2008, Plano, TX 75093-5200 | 2017-06-15 |
| 1013455443 | Nortex Integrated Medicine Pllc - Dallas Series | Family Medicine | 7000 Preston Rd Ste 1500, Plano, TX 75024-2512 | 2017-02-06 |
| 1649720509 | Stream Health Care Pa | Family Medicine | 280 Legacy Dr Ste 106, Plano, TX 75023-2315 | 2016-10-04 |
| 1588026330 | Vora Physicians, Pllc | Family Medicine | 1360 Star Ct, T1, Plano, TX 75074-7353 | 2016-03-22 |
| 1538543178 | Shssjv1 LLC | Family Medicine | 6400 Pinecrest Dr, Ste 300, Plano, TX 75024-2960 | 2015-07-14 |
| 1942606736 | Ntx Catalyst Health Network Inc | Family Medicine | 5212 Tennyson Pkwy, Suite 100, Plano, TX 75024-4211 | 2014-11-06 |
| Find all providers in PLANO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.