Individual
DR. KAMLESH P RAMCHANDANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 N CHURCH ST, ROCKFORD, IL 61101-1001
(815) 962-0394
(815) 962-5163
Mailing address
111 N CHURCH ST, ROCKFORD, IL 61101-1001
(815) 962-0394
(815) 962-5163
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036-071611
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036071611
—
IL
Enumeration date
10/06/2005
Last updated
09/21/2010
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