Adenwala, Tasneem Mustafa
Adenwala, Tasneem Mustafa is an individual health care provider with primary practice located at 530 Ne Glen Oak Ave , Peoria IL 61637. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Adenwala, Tasneem Mustafa can be contacted via phone (309) 655-2730.Contact Information
Primary practice address
530 Ne Glen Oak Ave
Peoria IL 61637
Phone: (309) 655-2730
Fax: (309) 655-7732
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD61537741 | Washington |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 125.078517 | Illinois |
Profile Details
| NPI number | 1437721123 |
|---|---|
| LBN Legal business name | Adenwala, Tasneem Mustafa |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2021 |
| Last updated | Jul 1st, 2024 - about 5 months 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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