Kamalesh, Masoor
Kamalesh, Masoor is an individual health care provider with primary practice located at 503 N Maple St , Effingham IL 62401-2006. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Kamalesh, Masoor can be contacted via phone (217) 342-3700.Contact Information
Primary practice address
503 N Maple St
Effingham IL 62401-2006
Phone: (217) 342-3700
Fax: (217) 342-6286
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 01054786 | Indiana |
| Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | 01054786A | Indiana |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 01054786A | Indiana |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 036.101397 | Illinois |
Profile Details
| NPI number | 1689638595 |
|---|---|
| LBN Legal business name | Kamalesh, Masoor |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 17th, 2006 |
| Last updated | Dec 28th, 2021 - about 3 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 | 1689638595 | NPPES |
| Indiana | Other | M47140345 | MEDICARE PTAN |
| Indiana | MEDICAID | 200370980 | MEDICARE PTAN |
| Indiana | Other | 060070329 | MEDICARE PTAN |
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