Individual
DR. JOSEPH PORINCHU ALENGHAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1709 JUMER DR, SUITE B, BLOOMINGTON, IL 61704-0914
(309) 665-0640
(309) 664-6809
Mailing address
1709 JUMER DR, SUITE B, BLOOMINGTON, IL 61704-0914
(309) 665-0640
(309) 664-6809
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036-061493
IL
2085R0202X
Diagnostic Radiology Physician
101242282
VA
2085R0202X
Diagnostic Radiology Physician
133436
NY
2085R0202X
Diagnostic Radiology Physician
17757
CT
2085R0202X
Diagnostic Radiology Physician
35.091085
OH
2085R0202X
Diagnostic Radiology Physician
43362
MA
2085R0202X
Diagnostic Radiology Physician
7354
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036061493
—
IL
01
—
202926
GROUP PTAN
IL
01
—
212545
GROUP PTAN
IL
Enumeration date
05/05/2006
Last updated
11/04/2009
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