Dr. Kousiki Patra
MD | Pediatric Neonatal-Perinatal Medicine | Female
Dr. Kousiki Patra, MD is a Chicago, Illinois based Pediatric doctor with medical specialization in
Pediatric Neonatal-Perinatal Medicine.
Current practice location of Dr. Kousiki Patra is
1653 W Congress Pkwy, Murdock 622, Chicago, Illinois - 60612-3833. She can be contacted on phone at
312-942-6640 and fax number 312-942-4370.
Dr. Kousiki Patra is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Kousiki Patra is
1285623785 which was assigned by NPPES on 18 Oct, 2005 and it was last updated on 13 Jun, 2011.
Dr. Kousiki Patra license number is
35077993 for Pediatrics Neonatal-Perinatal Medicine (2080N0001X) in Ohio.
Dr. Kousiki Patra is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Complete Profile:
Dr. Kousiki Patra basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Neonatal-Perinatal Medicine |
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| Provider Name : | Dr. Kousiki Patra |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Dr. Kousiki Patra address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1653 W Congress Pkwy, Murdock 622
Chicago, IL, 60612-3833
United States |
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| Phone Number : | 312-942-6640 |
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| Fax Number : | 312-942-4370 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1285623785 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 18 Oct, 2005 |
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| Last Updated On : | 13 Jun, 2011 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Kousiki Patra are as mentioned. Primary taxonomy code for Dr. Kousiki Patra, MD is
2080N0001X (Pediatrics Neonatal-Perinatal Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 35077993 | OH |
| 2080N0001X | Pediatrics Neonatal-Perinatal Medicine | Yes | 35077993 | OH |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Kousiki Patra such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 2317193 | MEDICAID | OH | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1653 W Congress Pkwy, Murdock 622
Chicago, IL, 60612-3833
United States |
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| Phone Number : | 312-942-6640 |
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| Fax Number : | 312-942-4370 |
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Business Location:
Patients can refer following map for directions to
Dr. Kousiki Patra practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.