Pancholi, Sanjay Suryakant

Pancholi, Sanjay Suryakant is an individual health care provider with primary practice located at 2750 11Th St , Rock Island IL 61201-5216. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Pancholi, Sanjay Suryakant can be contacted via phone (563) 327-2100.

Contact Information

Primary practice address
2750 11Th St Rock Island IL 61201-5216
Phone: (563) 327-2100
Fax: (563) 327-2102
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036118253 Illinois

Profile Details

NPI number 1780894816
LBN Legal business name Pancholi, Sanjay Suryakant
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2007
Last updated May 25th, 2021 - about 3 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 1780894816 NPPES
Illinois MEDICAID 036118253

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