Individual
DR. SAMPURNA MAN TULADHAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5841 S MARYLAND AVENUE, M/C 1052, CHICAGO, IL 60637-1470
(773) 702-6760
(773) 702-0861
Mailing address
710 OAKTON ST, APARTMENT 402, EVANSTON, IL 60202-2927
(571) 409-9326
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
125059671
IL
Other
Enumeration date
09/07/2011
Last updated
09/07/2011
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