Peracha, Mohammed O
Peracha, Mohammed O is an individual health care provider with primary practice located at 1700 E West Rd , Calumet City IL 60409-5415. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Peracha, Mohammed O can be contacted via phone (708) 891-3330.Contact Information
Primary practice address
1700 E West Rd
Calumet City IL 60409-5415
Phone: (708) 891-3330
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 01059313A | Indiana |
Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 45488 | Iowa |
Allopathic & Osteopathic Physicians / Retina Specialist | 207WX0107X | 45488 | Iowa |
Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 036123530 | Illinois |
Profile Details
NPI number | 1982606950 |
---|---|
LBN Legal business name | Peracha, Mohammed O |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 10th, 2005 |
Last updated | Jan 29th, 2019 - about 6 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 | 1982606950 | NPPES |
Indiana | MEDICAID | 200423140 | |
Indiana | MEDICAID | 036123530 |
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