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ALMUHANNAD ALFRHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
640 W WASHINGTON ST, PITTSFIELD, IL 62363-1350
(217) 285-2113
Mailing address
1005 BROADWAY ST, QUINCY, IL 62301-2834
(217) 223-8400
(217) 277-3986

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01060690A
IN
207R00000X
Internal Medicine Physician
Primary
0360189709
IL
207R00000X
Internal Medicine Physician
MD-43233
IA
208M00000X
Hospitalist Physician
01060690A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000490619
ANTHEM
IN
01
036-089709
MEDICAL LICENSE
IL
05
200833860
IN
Enumeration date
08/31/2006
Last updated
12/13/2024
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