Mood, Girish R
Mood, Girish R is an individual health care provider with primary practice located at 340 W Lincoln St Suite 400, Belleville IL 62220-1900. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Mood, Girish R can be contacted via phone (618) 233-6044.Contact Information
Primary practice address
340 W Lincoln St Suite 400
Belleville IL 62220-1900
Phone: (618) 233-6044
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 35086063 | Ohio |
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 036133156 | Illinois |
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | TP573 | Kentucky |
Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 14145 | North Dakota |
Profile Details
NPI number | 1487755518 |
---|---|
LBN Legal business name | Mood, Girish R |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 25th, 2006 |
Last updated | Jan 8th, 2022 - about 2 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 | 1487755518 | NPPES |
Indiana | MEDICAID | 201320850 | |
Indiana | MEDICAID | 7100360210 | |
Indiana | MEDICAID | 2586705 |
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