Venkedesh Raju M.D

NPI 1053512814 - Pediatrics - 208000000X

NPI Details
NPI 1053512814
Gender Male
Enumeration Date 05/30/2007
Last Updated 07/20/2009
Entity Type Individual
Active Over 9 years ago
Practice Location
530 NE GLEN OAK AVE
PEORIA IL, 61637-0001, US
Phone (309) 648-3184
Fax
Business Location
828 NE GLEN OAK AVE
204 STONECREST APARTMENTS
PEORIA IL, 61603-3285, US
Phone (309) 648-3184
Fax
Toxanomy
Taxonomy Code 208000000X
License State Illinois
License Number 125050775
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According to our database, Dr. Venkedesh Raju M.D NPI is 1053512814, taxonomy code is 208000000X and license number is 125050775, license state is located at Illinois. Venkedesh Raju M.D physically located at 530 Ne Glen Oak Ave, Peoria IL, 61637-0001. NPI Number Venkedesh Raju M.D has the Individual type.

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1053512814 NPI number is provided on an as is basis without warranty of any kind. 1053512814 is maintained by the National Plan & Provider Enumeration System. The contents of Venkedesh Raju M.D are for informational purposes only.