Individual
DR. IRFAN MUNIRUDDIN ANKOLKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2701 17TH ST, ROCK ISLAND, IL 61201-5351
(309) 779-5000
Mailing address
2701 17TH STREET, ROCK ISLAND, IL 61201-0000
(309) 779-5000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036-119417
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036-119417
—
IL
01
—
95149
WELLMARK
IA
01
—
99854
WELLMARK
IA
01
—
P00616052
RR MEDICARE
IL
Enumeration date
03/21/2007
Last updated
10/02/2008
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