| Provider / Organization | NPI | Date Certified |
|---|---|---|
| RAHUL TANDON | 1053604413 | 2023-02-11 |
Rahul Tandon is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1053604413. Registration indicates Rahul Tandon is a provider of access to dental specialists services with a specialization in Dental Providers, Dentist (Dental Providers, Dentist) (Dentist: Oral and Maxillofacial Surgery, ) (Dental, ) (Dentist Oral and Maxillofacial Surgery, Dental Providers) (Dentist, ) (Student, Health Care, Student in an Organized Health Care Education/Training Program) (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)
| Entity Type | Individual |
| Provider Name | Dr. Rahul Tandon DMD, MD |
| Other Provider Name | Krishneha Pllc |
| Practice Office Address | 930 N YORK RD STE 140 HINSDALE, IL US |
| Practice Office Telephone | 6306553333 |
| Mailing Address | 930 N YORK RD STE 140 HINSDALE, IL 605218680 US |
| Business Telephone | 6306553333 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 11092 Anderson St | Loma Linda, CA 923501706 | 9095584671 |
| 10713 W 159th St | Orland Park, IL 604674531 | 7083015000 |
| Code | Practice | License No State |
|---|---|---|
| 1223S0112X PRIMARY | Access to Dental Specialists Dental Providers Dentist Dental Providers Dentist Dentist: Oral and Maxillofacial Surgery Dental Dentist Oral and Maxillofacial Surgery Dental Providers Dentist | 021.003058
IL |
| 390200000X | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care | |
| 193400000X SING | Group Code |
| 7594406 | MEDICAID | CA |