Mungee, Sudhir
Mungee, Sudhir is an individual health care provider with primary practice located at 5405 North Knoxville Avenue , Peoria IL 61614. 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. Mungee, Sudhir can be contacted via phone (309) 691-4410.Contact Information
Primary practice address
5405 North Knoxville Avenue
Peoria IL 61614
Phone: (309) 691-4410
Fax: (309) 589-2830
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 036117017 | Illinois |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 036-117017 | Illinois |
Profile Details
| NPI number | 1023113743 |
|---|---|
| LBN Legal business name | Mungee, Sudhir |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 14th, 2006 |
| Last updated | Aug 2nd, 2010 - about 15 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 | 1023113743 | NPPES |
| Illinois | MEDICAID | 036117017 | |
| Illinois | MEDICAID | 036-117017 |
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