Goreshi, Renato

Goreshi, Renato is an sole proprietor health care provider with primary practice located at 311 E 89Th Ave , Merrillville IN 46410-8162. He recently has only one registered license in Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, which is considered as his primary health care specialty. Goreshi, Renato can be contacted via phone (219) 769-7062.

Contact Information

Primary practice address
311 E 89Th Ave Merrillville IN 46410-8162
Phone: (219) 769-7062
Fax: (630) 495-1770
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 036.147753 Illinois

Profile Details

NPI number 1235450420
LBN Legal business name Goreshi, Renato
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 22nd, 2010
Last updated Aug 5th, 2022 - about 4 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 1235450420 NPPES
Illinois MEDICAID 1235450420
Illinois MEDICAID MCO300042637

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