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1174145361
PRASHANTH MALLIKARJUN SINGANALLUR
URBANA, IL
NPI
1174145361
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: IL 125.075451)
Enumeration Date
2020-05-11
Last Update Date
2024-12-19
Business Address
PRASHANTH MALLIKARJUN SINGANALLUR
611 W PARK FAPC
URBANA, IL 61802
Phone number: 217-902-6954
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Mailing Address
PRASHANTH MALLIKARJUN SINGANALLUR
611 W PARK FAPC
URBANA, IL 61802
Phone number: 217-902-6954
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