Chailerborisuth, Navaneet S

Chailerborisuth, Navaneet S is an individual health care provider with primary practice located at 4600 30Th St , Rock Island IL 61201-7038. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Chailerborisuth, Navaneet S can be contacted via phone (309) 788-5524.

Contact Information

Primary practice address
4600 30Th St Rock Island IL 61201-7038
Phone: (309) 788-5524
Fax: (309) 788-9550
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 32999 Iowa
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 036-097565 Illinois

Profile Details

NPI number 1811988520
LBN Legal business name Chailerborisuth, Navaneet S
Credentials MD, PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2005
Last updated Jun 15th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811988520 NPPES
Iowa MEDICAID 1525816
Iowa MEDICAID 036097565

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