Individual
MIR A ALIKHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 E MILLER RD, STERLING, IL 61081-1252
(815) 625-4790
Mailing address
101 E MILLER RD, STERLING, IL 61081-1252
(815) 625-4790
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
036-113051
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036113051
—
IL
01
—
105951
HEALTH ALLIANCE MEDICAL
IL
01
—
9815737
BLUE CROSS
IL
Enumeration date
10/12/2006
Last updated
01/29/2013
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