Rai, Komal Manoj

Rai, Komal Manoj is an individual health care provider with primary practice located at 530 Ne Glen Oak Ave , Peoria IL 61637. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Rai, Komal Manoj can be contacted via phone (309) 655-2274.

Contact Information

Primary practice address
530 Ne Glen Oak Ave Peoria IL 61637
Phone: (309) 655-2274
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 125.073027 Illinois
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 125.073027 Illinois

Profile Details

NPI number 1689166100
LBN Legal business name Rai, Komal Manoj
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2018
Last updated Jan 14th, 2020 - 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.

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