# SUBHENDU SINHAMAHAPATRA MD SC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922133271
- **Authorized official:** DR. SUBHENDU SINHAMAHAPATRA M.D. (PRESIDENT)
- **Authorized official phone:** (815) 937-9990

## Contact information

- **Practice address:** 450 N KENNEDY DR STE 106, KANKAKEE, IL 60901-2900
- **Practice address phone:** (815) 937-9990
- **Mailing address:** 450 N KENNEDY DR STE 106, KANKAKEE, IL 60901-2900
- **Mailing address phone:** (815) 937-9990

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/23/2007
- **Last updated:** 08/22/2020