Individual
DR. NIVEDITA KARMAKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1200 W STATE ST, ROCKFORD, IL 61102-2112
(815) 490-1600
(815) 490-1881
Mailing address
1200 W STATE ST, ROCKFORD, IL 61102-2112
(815) 490-1600
(815) 490-1881
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036-117388
IL
208000000X
Pediatrics Physician
56251-020
WI
2080P0206X
Pediatric Gastroenterology Physician
036117388
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036117388
—
IL
05
—
1275515462
—
WI
Enumeration date
11/15/2005
Last updated
07/01/2019
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