Individual
DR. PRABHA CHAND DOSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1401 E. STATE STREET, ROCKFORD, IL 61104
(815) 489-4177
(815) 490-5906
Mailing address
2112 TIMBER TRAIL, FREEPORT, IL 61032-9388
(815) 232-6822
(815) 490-5906
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
036067824
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036-067 824
—
IL
Enumeration date
07/03/2006
Last updated
02/04/2010
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