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NPI Code Detail

MEDICARE: DR. MINAL GIRI M.D.

MEDICARE: DR. MINAL GIRI M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics PhysicianIL

General Provider Information

NPI Number : 1164471124
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MINAL GIRI M.D.
Provider Business Mailing Address
First Line : 8319 W NORTH AVE
Second Line :
City : MELROSE PARK
State : IL
Zip : 60160-1605
Country : US
Telephone Number : 708-450-9700
Fax Number : 708-450-9978
Provider Business Practice Location Address
First Line : 8319 W NORTH AVE
Second Line :
City : MELROSE PARK
State : IL
Zip : 60160-1605
Country : US
Telephone Number : 708-450-9700
Fax Number : 708-450-9978
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/08/2006
Last Update Date : 09/12/2007

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