Mukul, Liberato V

Mukul, Liberato V is an individual health care provider with primary practice located at 7305 Se Circuit Dr Ste 260 , Hillsboro OR 97123-1915. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gynecology, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is his primary health care specialty. Mukul, Liberato V can be contacted via phone (503) 342-9928.

Contact Information

Primary practice address
7305 Se Circuit Dr Ste 260 Hillsboro OR 97123-1915
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X MD 28165 Oregon
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MD28165 Oregon

Profile Details

NPI number 1932129491
LBN Legal business name Mukul, Liberato V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Feb 10th, 2023 - about 3 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 1932129491 NPPES
Oregon Other R154890 MEDICARE PTAN
Oregon MEDICAID 241654 MEDICARE PTAN

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