Master Sankar Raj, Vimal

Master Sankar Raj, Vimal is an individual health care provider with primary practice located at 530 Ne Glen Oak Ave , Peoria IL 61637-3105. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Nephrology, which is considered as his primary health care specialty. Master Sankar Raj, Vimal can be contacted via phone (309) 624-8884.

Contact Information

Primary practice address
530 Ne Glen Oak Ave Peoria IL 61637-3105
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Nephrology 2080P0210X 036133119 Illinois

Profile Details

NPI number 1336339597
LBN Legal business name Master Sankar Raj, Vimal
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2007
Last updated Apr 27th, 2016 - about 9 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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