Eliathamby Kuganeswaran M.D.

NPI 1073555488 - Internal Medicine - 207RG0100X

NPI Details
NPI 1073555488
Gender Male
Enumeration Date 06/11/2006
Last Updated 05/28/2009
Entity Type Individual
Active Over 11 years ago
Practice Location
1001 W MAIN ST
PEORIA IL, 61606-1276, US
Phone (309) 672-4980
Fax (309) 671-2944
Business Location
PO BOX 365
MORTON IL, 61550-0365, US
Phone (309) 672-4980
Fax (309) 671-2944
Taxonomy Code 207RG0100X
License State Illinois
License Number 036105345
Remove 1073555488 NPI Number

According to our database, Dr. Eliathamby Kuganeswaran M.D. NPI is 1073555488, taxonomy code is 207RG0100X and license number is 036105345, license state is located at Illinois. Eliathamby Kuganeswaran M.D. physically located at 1001 W Main St, Peoria IL, 61606-1276. NPI Number Eliathamby Kuganeswaran M.D. has the Individual type.

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1073555488 NPI number is provided on an as is basis without warranty of any kind. 1073555488 is maintained by the National Plan & Provider Enumeration System. The contents of Eliathamby Kuganeswaran M.D. are for informational purposes only.