MASTAN RAO INDLAMURI

SPRINGFIELD, IL
NPI1134561913
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IL  036.142622)
Enumeration Date2013-07-22
Last Update Date2018-02-12
Business Address
MASTAN RAO INDLAMURI M.D.,
2239 E COOK ST
SPRINGFIELD, IL 62703-1944
Phone number: 713-500-7616
Mailing Address
MASTAN RAO INDLAMURI M.D.,
2239 E COOK ST
SPRINGFIELD, IL 62703-1944
Phone number: 217-788-2300