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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MOHAMMED RAASIQ UL IMAN GANDAM, MD

Active Sole Proprietor

DR. MOHAMMED RAASIQ UL IMAN GANDAM, MD is a Internal Medicine healthcare provider located in ROCKFORD, Illinois. NPI 1417584699 is currently active in the NPPES registry. Verify at CMS.

Internal Medicine · ROCKFORD, IL

Registration Details

NPI Number
1417584699
Provider Type
Individual
Gender
Male
NPI Issued
Mar 26, 2020 (6.4029919867008 yrs)
Last Updated
Sep 26, 2023
License
036.164074 (IL)
Sole Proprietor
Yes

Practice Information

Address
1401 E STATE ST
ROCKFORD, IL, 611042315
Browse IL providers · Browse ZIP 61104
Phone
7706964400
Primary Specialty
Internal Medicine
207R00000X

Other Internal Medicine Providers in ROCKFORD, IL

Name Credential NPI
DR. JOSE ALBERTO B SALAZAR M.D. 1629074216
DR. KAMLESH P RAMCHANDANI M.D. 1295723021
DR. ADEKOLA ABIOUDUN ASHAYE MD 1003899162
DR. PEGGY SHIELS MD 1508849563
CHARLES WELFORD MD 1972586857
DR. LARRY SY MD 1932182995
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.