DR. MITRA SADRAMELI (NPI# 1871950741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871950741 |
| Entity Type | Individual |
| Full Name | DR. MITRA SADRAMELI |
| Practice Address |
1201 S Prairie Ave Apt 4901 Chicago IL 60605-3570 |
| Practice Telephone | 3129666307 |
| Mailing Telephone | 3129666307 |
| Enumeration Date | 2016-01-24 |
| Last Update Date | 2016-01-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0008X |
Dentist Specialization: Oral and Maxillofacial Radiology |
019.030434 | IL | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | STATE OF ILLINOIS, DEPARTMENT OF FINANCIAL & PROFESSIONAL REGULA | 019.030434 | 01 |
| Street Address |
1201 S PRAIRIE AVE APT 4901 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60605-3570 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568074219 | Kheri Dunkins | Counselor | 1136 S Delano Ct, Suite B201, Chicago, IL 60605 | 2020-08-22 |
| 1134739196 | Erin Odonnell | Physical Therapist | 1255 Soputh State Street, Unit 6, Chicago, IL 60605 | 2020-08-05 |
| 1225658032 | Rita Haber | Speech-Language Pathologist | 1255 S Michigan Avenue, 207, Chicago, IL 60605 | 2020-04-21 |
| 1285288753 | My Travel Guy, Inc. | Transportation Broker | 1300 S. Wabash Ave. Suite # 205, Chicago, IL 60605 | 2019-08-01 |
| 1699230417 | Iesha Marsh | Home Health Aide | 820 S Park Terrance, Apt813, Chicago, IL 60605 | 2019-02-06 |
| 1538633482 | Sara Miller | Counselor | 401 S. Lasalle St. Suite 800h, Chicago, IL 60605 | 2019-01-14 |
| 1992203798 | Lorna Johnson | Nurse Practitioner | 1740 W Taylor St., 764e Uih, Mc 509, Chicago, IL 60605 | 2018-01-26 |
| 1790226207 | Undine and Associates | Social Worker | 410 S. Michigan Ave, Ste 943, Chicago, IL 60605 | 2017-03-16 |
| 1659811529 | Paul Parpart | Occupational Therapist | 1235 S Prairie, Chicago, IL 60605 | 2017-02-27 |
| 1144679879 | Osco Drug | Ambulance | 1529 S State St 6e, Chicago, IL 60605 | 2016-06-03 |
| Find all providers in zip 60605 | ||||
| Taxonomy Code | 1223X0008X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Radiology |
| The specialty of dentistry and discipline of radiology concerned with the production and interpretation of images and data produced by all modalities of radiant energy that are used for the diagnosis and management of diseases, disorders and conditions of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316241052 | Mahi Sophia Mehr | Dentist | 2620 N Halsted St, Chicago, IL 60614-7694 | 2011-01-10 |
| 1942653738 | Dental Diagnostic Imaging | Dentist | 1201 S Prairie Ave, 4901, Chicago, IL 60605-3325 | 2016-07-18 |
| 1629348081 | Maria Alejandra Mora | Dentist | 1629 S Prairie Ave, Chicago, IL 60616-4403 | 2012-01-03 |
| 1952438509 | Richard Monahan | Dentist | 2211 N Oak Park Ave, Shriners Hospital for Children, Chicago, IL 60707-3351 | 2007-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639332570 | Reji Thomas Mathew | Dentist | 3450 Lacey Road, Downers Grove, IL 60515-6700 | 2008-07-09 |
Please comment or provide details below to improve the information on DR. MITRA SADRAMELI.
| 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.