Provider Demographics
NPI:1861999559
Name:KIBA, INC.
Entity type:Organization
Organization Name:KIBA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MIHIR
Authorized Official - Middle Name:
Authorized Official - Last Name:MAJMUNDAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:847-778-3200
Mailing Address - Street 1:3845 MCCOY DR STE 101
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60504-4429
Mailing Address - Country:US
Mailing Address - Phone:630-952-1412
Mailing Address - Fax:773-635-5757
Practice Address - Street 1:3845 MCCOY DR STE 101
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60504-4429
Practice Address - Country:US
Practice Address - Phone:630-952-1412
Practice Address - Fax:773-635-5757
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-09
Last Update Date:2018-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Multi-Specialty