Nathan, R Deva
Nathan, R Deva is an individual health care provider with primary practice located at 1001 Health Center Dr , Mattoon IL 61938-4693. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Medical Oncology is his primary health care specialty. Nathan, R Deva can be contacted via phone (217) 258-2250.Contact Information
Primary practice address
1001 Health Center Dr
Mattoon IL 61938-4693
Phone: (217) 258-2250
Fax: (217) 258-2249
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036043661 | Illinois |
| Allopathic & Osteopathic Physicians / Hematology | 207RH0000X | 036043661 | Illinois |
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | 036043661 | Illinois |
Profile Details
| NPI number | 1700987708 |
|---|---|
| LBN Legal business name | Nathan, R Deva |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 25th, 2006 |
| Last updated | May 24th, 2024 - about 2 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 | 1700987708 | NPPES |
| Illinois | MEDICAID | 036043661 |
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