Nimavat, Dharmendra J

Nimavat, Dharmendra J is an individual health care provider with primary practice located at 415 N 9Th St Suite 4W16, Springfield IL 62702-5303. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as his primary health care specialty. Nimavat, Dharmendra J can be contacted via phone (217) 544-6464.

Contact Information

Primary practice address
415 N 9Th St Suite 4W16 Springfield IL 62702-5303
Phone: (217) 544-6464
Fax: (217) 757-6844
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 036-107134 Illinois

Profile Details

NPI number 1629052485
LBN Legal business name Nimavat, Dharmendra J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2005
Last updated Feb 9th, 2011 - about 13 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 1629052485 NPPES
Illinois MEDICAID 036107134

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