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1245612092
SIVACHARAN BUDDHAVARAPU
PEORIA, IL
NPI
1245612092
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: IL 036.163965)
Enumeration Date
2015-06-28
Last Update Date
2023-09-08
Business Address
Dr. SIVACHARAN BUDDHAVARAPU M.D.
112 NE CRESCENT AVE
PEORIA, IL 61606-1901
Phone number: 309-672-4670
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Mailing Address
Dr. SIVACHARAN BUDDHAVARAPU M.D.
112 NE CRESCENT AVE
PEORIA, IL 61606-1901
Phone number: 309-672-4670
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