Keshava Medical Center LTD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036094000 Issued in IL

Legal business name

KESHAVA MEDICAL CENTER LTD

Practice address

7845 S Cottage Grove Ave
Suite # 109
Chicago, IL 60619-3100

Phone

(773) 783-8793

Fax

(773) 783-8794

NPI assigned

Jul 24, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Pramode K Keshava, M.D.NPI 1285670232

Title

Director

Phone

(773) 783-8793

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pramode Kumar Keshava, M.D.

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1285670232
  Medicare reassignment NPD Authorized official
• Tapas Dasgupta, MD

  • Physical Medicine & Rehabilitation Physician
  • Highland, IN
  • NPI 1386687556
  NPD (past)

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277769600000",
    "number": "1124228424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9000 KILKENNY DR",
            "city": "DARIEN",
            "state": "IL",
            "postal_code": "605618451",
            "telephone_number": "630-910-8157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7845 S COTTAGE GROVE AVE",
            "address_2": "SUITE # 109",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606193100",
            "telephone_number": "773-783-8793",
            "fax_number": "773-783-8794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KESHAVA MEDICAL CENTER LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-24",
        "last_updated": "2010-06-29",
        "status": "A",
        "authorized_official_last_name": "KESHAVA",
        "authorized_official_first_name": "PRAMODE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "773-783-8793",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036094000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Srikar Kesamneni, DO
• Tushar Kesavadas, MD
• Anil Anand Kesavan, M.D.
• Meera Keshary, M.D
• Sanjeev Raj Keshary, MD
• Pramode Kumar Keshava, M.D.
• Sahel Keshavarzi, M.D.
• Ali Keshavarzian, M.D.
• Reesha Kesho, DMD
• Ariz Keshwani

• Internal Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.