Sarita M Prabhudesai MD

NPI 1710095815 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1710095815
Gender Female
Enumeration Date 08/28/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1900 E MAIN ST
DANVILLE IL, 61832-5100, US
Phone (217) 554-5077
Fax
Business Location
13911 E 3785 NORTH RD
HOOPESTON IL, 60942-6254, US
Phone (217) 748-6272
Fax
Toxanomy
Taxonomy Code 2084P0800X
License State Illinois
License Number 036070658
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According to our database, Sarita M Prabhudesai MD NPI is 1710095815, taxonomy code is 2084P0800X and license number is 036070658, license state is located at Illinois. Sarita M Prabhudesai MD physically located at 1900 E Main St, Danville IL, 61832-5100. NPI Number Sarita M Prabhudesai MD has the Individual type.

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1710095815 NPI number is provided on an as is basis without warranty of any kind. 1710095815 is maintained by the National Plan & Provider Enumeration System. The contents of Sarita M Prabhudesai MD are for informational purposes only.