Individual
MOHAMED I RAJPUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
309 NW 2ND ST, ALEDO, IL 61231
(309) 582-7283
(309) 582-2667
Mailing address
309 NW 2ND ST, ALEDO, IL 61231
(309) 582-7283
(309) 582-2667
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
036053130
IL
208D00000X
General Practice Physician
Primary
036053130
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036053130
—
IL
Enumeration date
05/03/2007
Last updated
07/30/2019
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