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Individual

MOHAMMAD ADNAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1901 W HARRISON ST, DIVISION OF NEONATOLOGY, CHICAGO, IL 60612-3714
(312) 864-4044
Mailing address
1200 W. WHITE RIVER BLVD., RCS PROVIDER ENROLLMENT, MUNCIE, IN 47303-4988
(765) 254-4009

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
01079643A
IN
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
C186470
CA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/07/2015
Last updated
07/20/2023
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