Nathan, R Deva

Nathan, R Deva is an individual health care provider with primary practice located at 1001 Health Center Dr , Mattoon IL 61938-4693. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Medical Oncology is his primary health care specialty. Nathan, R Deva can be contacted via phone (217) 258-2250.

Contact Information

Primary practice address
1001 Health Center Dr Mattoon IL 61938-4693
Phone: (217) 258-2250
Fax: (217) 258-2249
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036043661 Illinois
Allopathic & Osteopathic Physicians / Hematology 207RH0000X 036043661 Illinois
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 036043661 Illinois

Profile Details

NPI number 1700987708
LBN Legal business name Nathan, R Deva
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2006
Last updated May 24th, 2024 - about 4 months 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 1700987708 NPPES
Illinois MEDICAID 036043661

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