Ubaidur Papa

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

36044800 Issued in IL

Legal business name

UBAIDUR PAPA

Practice address

460 Coventry LN
Suite 206
Crystal Lake, IL 60014-7561

Phone

(815) 455-1266

Fax

(815) 455-0789

NPI assigned

Aug 14, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ubaidur R. Papa, M.DNPI 1043237696

Title

Pediatrician

Phone

(815) 455-1266

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ubaidur R Papa, M.D.

  • Pediatrics Physician
  • Crystal Lake, IL
  • NPI 1043237696
  NPD (past) Authorized official

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932112414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 COVENTRY LN",
            "address_2": "SUITE 206",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600147561",
            "telephone_number": "815-455-1266",
            "fax_number": "815-455-0789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 COVENTRY LN",
            "address_2": "SUITE 206",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600147561",
            "telephone_number": "815-455-1266",
            "fax_number": "815-455-0789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UBAIDUR PAPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PAPA",
        "authorized_official_first_name": "UBAIDUR",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PEDIATRICIAN",
        "authorized_official_telephone_number": "815-455-1266",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "36044800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatrics Physician in Crystal Lake, IL
• Providers in Crystal Lake, IL by specialty
• Pediatrics Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.