Shrishrimal, Kumarpal

Shrishrimal, Kumarpal is an individual health care provider with primary practice located at 1302 Franklin Ave, Ste 3000 , Bloomington IL 61701-7904. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Shrishrimal, Kumarpal can be contacted via phone (309) 676-8123.

Contact Information

Primary practice address
1302 Franklin Ave, Ste 3000 Bloomington IL 61701-7904
Phone: (309) 676-8123
Fax: (309) 676-8455
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 036116634 Illinois

Profile Details

NPI number 1023217551
LBN Legal business name Shrishrimal, Kumarpal
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2007
Last updated Aug 19th, 2022 - 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 1023217551 NPPES
Illinois Other 613790003 UPIN
Illinois MEDICAID 036-116634 UPIN

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