Individual
DR. KOCHURANI J MALIEKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3851 N OAKLEY AVE, CHICAGO, IL 60618
(314) 496-4861
Mailing address
3851 N OAKLEY AVE, CHICAGO, IL 60618-3813
(314) 496-4861
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
036-085939
IL
207RH0003X
Hematology & Oncology Physician
Primary
2018005701
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036085939
—
IL
01
—
K07739
PIN
IL
Enumeration date
06/01/2005
Last updated
10/23/2020
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