Mohanty, Alok
Mohanty, Alok is an individual health care provider with primary practice located at 1775 Dempster St , Park Ridge IL 60068-1143. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Mohanty, Alok can be contacted via phone (847) 723-6180.Contact Information
Primary practice address
1775 Dempster St
Park Ridge IL 60068-1143
Phone: (847) 723-6180
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | MD431110 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 036117713 | Illinois |
Profile Details
| NPI number | 1275767931 |
|---|---|
| LBN Legal business name | Mohanty, Alok |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 11th, 2009 |
| Last updated | Dec 17th, 2021 - about 5 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 | 1275767931 | NPPES |
| West Virginia | MEDICAID | 3810017746 | |
| West Virginia | MEDICAID | 1024723530001 | |
| West Virginia | MEDICAID | 3051307 |
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