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Individual

DR. MALVINDER S. HOONJAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036123022
IL
207W00000X
Ophthalmology Physician
38385
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0060350
IA GROUP MEDICAID
IA
05
036123022
IL
05
1306034509
IA
01
26568
IA GROUP MEDICARE
IA
01
790730
IL GROUP MEDICARE
IL
Enumeration date
10/12/2007
Last updated
01/07/2010
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