Deoras, Mukund P

Deoras, Mukund P is an individual health care provider with primary practice located at 3333 N Seminary St , Galesburg IL 61401-1251. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Deoras, Mukund P can be contacted via phone (309) 344-3161.

Contact Information

Primary practice address
3333 N Seminary St Galesburg IL 61401-1251
Phone: (309) 344-3161
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 036053626 Illinois

Profile Details

NPI number 1982657904
LBN Legal business name Deoras, Mukund P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated May 12th, 2011 - about 13 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 1982657904 NPPES
Illinois MEDICAID 0360536262

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