Provider Demographics
NPI:1306887518
Name:ATLURI, HARVINDER KAUR SANDHU (MD)
Entity type:Individual
Prefix:DR
First Name:HARVINDER
Middle Name:KAUR SANDHU
Last Name:ATLURI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:HARVINDER
Other - Middle Name:K
Other - Last Name:SANDHU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:3982 N MILWAUKEE AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60641-2703
Mailing Address - Country:US
Mailing Address - Phone:773-282-2000
Mailing Address - Fax:773-282-9428
Practice Address - Street 1:3982 N MILWAUKEE AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60641-2703
Practice Address - Country:US
Practice Address - Phone:773-282-2000
Practice Address - Fax:773-282-9428
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILH37805Medicare UPIN
ILL97005Medicare ID - Type Unspecified