Individual
MUKTA PANT-PUROHIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1221 N HIGHLAND AVE, AURORA, IL 60506-1404
(630) 859-8700
Mailing address
1870 W GALENA BLVD, AURORA, IL 60506-4356
(630) 859-6800
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01064594A
IN
207RH0003X
Hematology & Oncology Physician
Primary
036-131867
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036131867
—
IL
Enumeration date
11/28/2007
Last updated
01/16/2013
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