Individual provider Active NPI

Krishna V Nadhan, M.D.

  • Family Medicine Physician
  • Mount Prospect, IL
National Provider Identifier
1013062058
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Practice address
1720 W Algonquin Rd
104
Mount Prospect, IL 60056-5400
Phone
(847) 437-7575
Fax
(847) 437-7589
NPI assigned
Jan 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X IL Primary

Addresses

Primary practice location

1720 W Algonquin Rd
104
Mount Prospect, IL 60056-5400

Mailing address

1720 W Algonquin Rd
104
Mount Prospect, IL 60056-5400
Phone (847) 437-7575

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036084273ILMDFamily Medicine Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013062058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 W ALGONQUIN RD",
            "address_2": "104",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600565400",
            "telephone_number": "847-437-7575",
            "fax_number": "847-437-7589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 W ALGONQUIN RD",
            "address_2": "104",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600565400",
            "telephone_number": "847-437-7575",
            "fax_number": "847-437-7589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NADHAN",
        "first_name": "KRISHNA",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Prospect, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.