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MUKESH KUMAR MD

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1164756920

Individual Registrant:
 MUKESH  KUMAR MD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
708 15TH AVE  EAST MOLINE, IL 61244-2134 US
Tel: 563-336-3000  Fax: 563-336-3212

Contact information for business:
500 W RIVER DR  DAVENPORT, IA 52801-1014 US
Tel: 563-336-3000  Fax: 563-336-3125

Registration Information:
NPI: 1164756920
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
IL036.131133
N207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
OK27283
N207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
IA40224

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
1477819886IA05




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