Deepa Sirigeere Prabhakar MD

NPI 1609107952 - Internal Medicine - 207R00000X

NPI Details
NPI 1609107952
Gender Female
Enumeration Date 01/27/2010
Last Updated 07/28/2015
Entity Type Individual
Active Over 6 years ago
Practice Location
1400 W PARK ST
URBANA IL, 61801-2334, US
Phone (217) 337-2073
Fax (217) 366-6106
Business Location
101 W UNIVERSITY AVE
CHAMPAIGN IL, 61820-3909, US
Phone (217) 366-8107
Fax (573) 884-5790
Toxanomy
Taxonomy Code 207R00000X
License State Missouri
License Number 2013002820
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According to our database, Deepa Sirigeere Prabhakar MD NPI is 1609107952, taxonomy code is 207R00000X and license number is 2013002820, license state is located at Missouri. Deepa Sirigeere Prabhakar MD physically located at 1400 W Park St, Urbana IL, 61801-2334. NPI Number Deepa Sirigeere Prabhakar MD has the Individual type.

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1609107952 NPI number is provided on an as is basis without warranty of any kind. 1609107952 is maintained by the National Plan & Provider Enumeration System. The contents of Deepa Sirigeere Prabhakar MD are for informational purposes only.