Individual
PURANI ARUMUGAM
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
612 35TH AVE, MOLINE, IL 61265-6176
(309) 764-1133
(309) 764-6769
Mailing address
612 35TH AVE, MOLINE, IL 61265-6176
(309) 764-1133
(309) 764-6769
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
207VG0400X
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08100354
ILLINOIS BLUE SHIELD
—
01
—
99584
IOWA BLUE SHIELD
—
Enumeration date
02/02/2006
Last updated
07/09/2007
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