Lal, Roby Adhinayak

Lal, Roby Adhinayak is an individual health care provider with primary practice located at 221 Ne Glen Oak Ave , Peoria IL 61636-0002. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Lal, Roby Adhinayak can be contacted via phone (309) 672-5702.

Contact Information

Primary practice address
221 Ne Glen Oak Ave Peoria IL 61636-0002
Fax: (309) 671-2774
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X OS007227L Pennsylvania
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 036-116007 Illinois

Profile Details

NPI number 1811983489
LBN Legal business name Lal, Roby Adhinayak
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated May 24th, 2011 - about 14 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 1811983489 NPPES
Illinois MEDICAID 0361160072
Illinois Other CM5868
Illinois MEDICAID 001522959
Illinois Other P00334468
Illinois Other P00609726
Illinois Other 014885

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