Dhanasarn Mongkolsmai, M.D.

NPI #1669756060 in Bloomington, Illinois

Provider Information

NPI Number
1669756060
Entity Type
Individual
Name
Dhanasarn Mongkolsmai, M.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Internal Medicine - Cardiovascular Disease
Credential
M.D.
Enumeration Date
Oct 4, 2011
Last Updated
Oct 4, 2011

Practice Location

Address
2206 BERRYWOOD LN
ZIP Code
61704-2448
Phone
(309) 662-2032

Specialties & Taxonomy Codes

Specialty
Internal Medicine
Internal Medicine - Cardiovascular DiseaseCardiovascular Disease

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