KRISHNA SASANKA BATHINA

PEORIA, IL
NPI1194578260
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: IL  125083918)
Enumeration Date2024-04-09
Last Update Date2024-06-24
Business Address
Dr. KRISHNA SASANKA BATHINA MD
815 MAIN ST STE C
PEORIA, IL 61602-1080
Phone number: 309-672-4977
Mailing Address
Dr. KRISHNA SASANKA BATHINA MD
815 MAIN ST STE C
PEORIA, IL 61602-1080
Phone number: 309-672-4977
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