Deoras, Mukund P
Deoras, Mukund P is an individual health care provider with primary practice located at 3333 N Seminary St , Galesburg IL 61401-1251. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Deoras, Mukund P can be contacted via phone (309) 344-3161.Contact Information
Primary practice address
3333 N Seminary St
Galesburg IL 61401-1251
Phone: (309) 344-3161
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 036053626 | Illinois |
Profile Details
| NPI number | 1982657904 |
|---|---|
| LBN Legal business name | Deoras, Mukund P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 19th, 2006 |
| Last updated | May 12th, 2011 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982657904 | NPPES |
| Illinois | MEDICAID | 0360536262 |
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