Mungee, Sudhir

Mungee, Sudhir is an individual health care provider with primary practice located at 5405 North Knoxville Avenue , Peoria IL 61614. 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. Mungee, Sudhir can be contacted via phone (309) 691-4410.

Contact Information

Primary practice address
5405 North Knoxville Avenue Peoria IL 61614
Phone: (309) 691-4410
Fax: (309) 589-2830
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 036117017 Illinois
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 036-117017 Illinois

Profile Details

NPI number 1023113743
LBN Legal business name Mungee, Sudhir
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2006
Last updated Aug 2nd, 2010 - about 16 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1023113743 NPPES
Illinois MEDICAID 036117017
Illinois MEDICAID 036-117017

Popular Providers