Individual
MUBEEN KHAN MOHAMMED ABDUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8201 E RIVERSIDE BLVD, ROCKFORD, IL 61114-2300
(815) 971-7000
Mailing address
8201 E RIVERSIDE BLVD, ROCKFORD, IL 61114-2300
(815) 971-7000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125059037
IL
207R00000X
Internal Medicine Physician
Primary
64252
WI
207RT0003X
Transplant Hepatology Physician
Primary
64252
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100046440
—
WI
Enumeration date
09/29/2011
Last updated
08/03/2026
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