Provider Demographics
NPI:1043553571
Name:MUGVE, NEAL RANJIT (MD)
Entity Type:Individual
Prefix:
First Name:NEAL
Middle Name:RANJIT
Last Name:MUGVE
Suffix:
Gender:M
Credentials:MD
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Other - Last Name:
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Mailing Address - Street 1:2160 S 1ST AVE
Mailing Address - Street 2:LOYOLA DEPARTMENT OF ANESTHESIA
Mailing Address - City:MAYWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60153-3328
Mailing Address - Country:US
Mailing Address - Phone:708-216-9169
Mailing Address - Fax:708-216-1249
Practice Address - Street 1:2160 S 1ST AVE
Practice Address - Street 2:LOYOLA DEPARTMENT OF ANESTHESIA
Practice Address - City:MAYWOOD
Practice Address - State:IL
Practice Address - Zip Code:60153-3328
Practice Address - Country:US
Practice Address - Phone:708-216-9169
Practice Address - Fax:708-216-1249
Is Sole Proprietor?:No
Enumeration Date:2013-04-03
Last Update Date:2021-04-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL125.062877207L00000X
IL036139155207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology