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Dr. Jan Roman Kornilow, MD
Emergency Medicine Physician in Muncie, Indiana
NPI 1487653515

Jan Roman Kornilow is a Emergency Medicine Physician based in Indianapolis, IN. Jan Roman Kornilow practices in Muncie, IN and has the professional credentials of MD. The NPI Number for Jan Roman Kornilow is 1487653515 and holds a License No. 01046719A (Indiana).

The current practice location address for Jan Roman Kornilow is 2401 W University Ave, Muncie, IN and can be reached out via phone at 260-969-1950.

Location: 2401 W University Ave, Muncie, IN, 46219-4959
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487653515
Provider Name
Jan Roman Kornilow
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2401 W University Ave, Muncie, IN, 46219-4959
Phone Number
260-969-1950
Fax Number
Provider Enumeration Date
07/20/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000658168 01 IN ANTHEM BC/BS
200173100A 05 IN
P00742238 01 IN RAILROAD MEDICARE
000000626585 01 IN ANTHEM BC/BS
P00841049 01 IN RAILROAD MEDICARE
000000082488 01 IN BLUE CROSS/BLUE SHIELD
P00730932 01 IN RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
2401 W University Ave
City
Muncie
State
Indiana
Zip
47303-3428
Phone Number
260-969-1950
Fax Number
person
Provider Business Mailing Address Details
Address
2401 W University Ave
City
Muncie
State
Indiana
Zip
47303-3428
Phone Number
260-969-1950
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
-
Taxonomy
207P00000X
License No.
01046719A (Indiana)
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
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