Venkata Ranganadh Dodda M.D

NPI 1013194042 - Internal Medicine - 207RC0200X

NPI Details
NPI 1013194042
Gender Male
Enumeration Date 01/22/2008
Last Updated 06/09/2015
Entity Type Individual
Active Over 9 years ago
Practice Location
1505 EASTLAND DR
SUITE 320
BLOOMINGTON IL, 61701-3534, US
Phone (309) 661-2368
Fax
Business Location
3521 NAPA LN
NORMAL IL, 61761-9329, US
Phone (734) 306-6503
Fax
Toxanomy
Taxonomy Code 207RC0200X
License State Michigan
License Number 4301090584
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According to our database, Dr. Venkata Ranganadh Dodda M.D NPI is 1013194042, taxonomy code is 207RC0200X and license number is 4301090584, license state is located at Michigan. Venkata Ranganadh Dodda M.D physically located at 1505 Eastland Dr, Bloomington IL, 61701-3534. NPI Number Venkata Ranganadh Dodda M.D has the Individual type.

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1013194042 NPI number is provided on an as is basis without warranty of any kind. 1013194042 is maintained by the National Plan & Provider Enumeration System. The contents of Venkata Ranganadh Dodda M.D are for informational purposes only.