Vakassi, Mohammad Mithal
Vakassi, Mohammad Mithal is an individual health care provider with primary practice located at 4600 Memorial Dr Ste W1 , Belleville IL 62226-5359. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Vakassi, Mohammad Mithal can be contacted via phone (618) 233-3066.Contact Information
Primary practice address
4600 Memorial Dr Ste W1
Belleville IL 62226-5359
Phone: (618) 233-3066
Fax: (618) 233-3180
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 036058818 | Illinois |
Profile Details
| NPI number | 1184602096 |
|---|---|
| LBN Legal business name | Vakassi, Mohammad Mithal |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 3rd, 2006 |
| Last updated | Mar 29th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184602096 | NPPES |
| Illinois | MEDICAID | 1184602096 |
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