Individual
DR. MALVINDER S. HOONJAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4731 45TH STREET CT, ROCK ISLAND, IL 61201-7102
(309) 792-2020
(309) 793-2602
Mailing address
777 TANGLEFOOT LN, BETTENDORF, IA 52722-1650
(563) 323-2020
(563) 328-5694
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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