Krupa Andalkar, P.A.-C
Physician Assistant, Surgical in Chicago, IL. Individual provider (NPI-1).
NPI number1043594872
StatusActive
Last updated in NPPESOct 17, 2011
Details
- NPI
- 1043594872
- Entity type
- Individual (NPI-1)
- Name
- Krupa Andalkar
- Credential
- P.A.-C
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 28, 2011
- Last updated
- Oct 17, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | 085004088 | IL | Yes |
Practice location
5841 S Maryland AveChicago, IL 60637-1447
Phone 773-702-2123
Mailing address
2400 N Lakeview Ave Apt 1011Chicago, IL 60614-2736
Phone 510-468-5865
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