Individual
PAKHADI H BUDDHADEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4201 W MEDICAL CENTER DR DEPT OF, MCHENRY, IL 60050-8409
(815) 759-4323
(815) 759-4948
Mailing address
4201 W MEDICAL CENTER DR DEPT OF, MCHENRY, IL 60050-8409
(815) 759-4323
(815) 759-4948
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
63723
WI
208M00000X
Hospitalist Physician
Primary
036136249
IL
208M00000X
Hospitalist Physician
63723
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003164443
—
WI
Enumeration date
08/15/2012
Last updated
07/08/2022
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