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1083786917
VENUGOPAL POLASANI
URBANA, IL
NPI
1083786917
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: IL 036056262)
Enumeration Date
2006-11-15
Last Update Date
2007-10-18
Business Address
-- VENUGOPAL POLASANI MD
1400 W PARK ST
URBANA, IL 61801-2334
Phone number: 217-337-2000
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Mailing Address
-- VENUGOPAL POLASANI MD
PO BOX 532912
ATLANTA, GA 30353-2912
Phone number: 217-337-2000
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