SANJEEV K. PRADHAN M.D. – NPI #1750557658
Surgery
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
SANJEEV PRADHAN is a surgeon located in OLYMPIA FIELDS, IL. NPPES has assigned the NPI number 1750557658 to SANJEEV PRADHAN on May 01, 2008. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2086S0129X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Vascular Surgery
The NPI profile was last updated on Sep 04, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SANJEEV PRADHAN below.
NPI Profile for
SANJEEV K. PRADHAN
(more than 18 years ago)
OLYMPIA FIELDS, IL 60461-1029 Phone: (708) 821-7794 Fax:
ORLAND PARK, IL 60467-4577 Phone: (708) 821-7794 Fax:
Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.
Identifiers for SANJEEV PRADHAN
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| other | BCBS | IL | 01618941 |
| medicaid | IL | 036120607 | |
| medicaid | IN | 200913040B |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 2086S0129X - Surgery / Vascular Surgery (Primary) |
IL | 036-120607 |
| 208600000X - Surgery |
IL | 036-120607 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.
Additional Information
- Refer to Part B
- Order Durable Medical Equipment
- Refer to Home Health Agency
- Order Power Mobility Devices
SANJEEV PRADHAN is affiliated with the following medical group(s):
- HOSPITAL
- ADVOCATE TRINITY HOSPITAL2320 E 93RD ST
CHICAGO, IL 60617 - PALOS COMMUNITY HOSPITAL12251 SOUTH 80TH AVENUE
PALOS HEIGHTS, IL 60463
- ADVOCATE TRINITY HOSPITAL2320 E 93RD ST
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