Indira Danturti M.D.

NPI 1174797773 - Anesthesiology - 207L00000X

NPI Details
NPI 1174797773
Gender Female
Enumeration Date 04/15/2008
Last Updated 03/20/2015
Entity Type Individual
Active Over 8 years ago
Practice Location
8600 N STATE ROUTE 91
SUITE 250
PEORIA IL, 61615-9541, US
Phone (309) 692-5393
Fax (309) 692-2538
Business Location
8600 N STATE ROUTE 91
SUITE 250
PEORIA IL, 61615-9541, US
Phone (309) 692-5393
Fax (309) 692-2538
Toxanomy
Taxonomy Code 207L00000X
License State Illinois
License Number 036-119819
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According to our database, Indira Danturti M.D. NPI is 1174797773, taxonomy code is 207L00000X and license number is 036-119819, license state is located at Illinois. Indira Danturti M.D. physically located at 8600 N State Route 91, Peoria IL, 61615-9541. NPI Number Indira Danturti M.D. has the Individual type.

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1174797773 NPI number is provided on an as is basis without warranty of any kind. 1174797773 is maintained by the National Plan & Provider Enumeration System. The contents of Indira Danturti M.D. are for informational purposes only.