Gafoor, Mohammad A

Gafoor, Mohammad A is an sole proprietor health care provider with primary practice located at 675 W North Ave Ste. 408, Melrose Park IL 60160-1634. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gafoor, Mohammad A can be contacted via phone (708) 450-4950.

Contact Information

Primary practice address
675 W North Ave Ste. 408 Melrose Park IL 60160-1634
Phone: (708) 450-4950
Fax: (708) 343-8508
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036059677 Illinois

Profile Details

NPI number 1922169440
LBN Legal business name Gafoor, Mohammad A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 12th, 2006
Last updated Jul 8th, 2007 - about 18 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 1922169440 NPPES
Illinois MEDICAID 036059677

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