Individual
MAGED GHOPRIAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
5401 44TH AVENUE DR STE 101, MOLINE, IL 61265-8126
(309) 779-4050
(309) 779-4057
Mailing address
5401 44TH AVENUE DR STE 101, MOLINE, IL 61265-8126
(309) 779-4050
(309) 779-4057
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036148480
IL
Other
Enumeration date
04/15/2015
Last updated
05/09/2019
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