Mood, Girish R

Mood, Girish R is an individual health care provider with primary practice located at 340 W Lincoln St Suite 400, Belleville IL 62220-1900. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Mood, Girish R can be contacted via phone (618) 233-6044.

Contact Information

Primary practice address
340 W Lincoln St Suite 400 Belleville IL 62220-1900
Phone: (618) 233-6044
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 35086063 Ohio
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 036133156 Illinois
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X TP573 Kentucky
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 14145 North Dakota

Profile Details

NPI number 1487755518
LBN Legal business name Mood, Girish R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2006
Last updated Jan 8th, 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 1487755518 NPPES
Indiana MEDICAID 201320850
Indiana MEDICAID 7100360210
Indiana MEDICAID 2586705

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