Individual
DR. UBEYDULLAH DELIGONUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1241 W STADIUM BLVD, JEFFERSON CITY, MO 65109-6023
(573) 635-5264
(573) 761-4611
Mailing address
PO BOX 104240, JEFFERSON CITY, MO 65110-4240
(573) 635-5264
(573) 761-4611
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
36841
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
206686719
—
MO
05
—
36107223
—
IL
Enumeration date
07/26/2006
Last updated
02/01/2010
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