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1255993929
SURYA KIRAN AEDMA
URBANA, IL
NPI
1255993929
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: IL 125.074673)
Enumeration Date
2019-07-02
Last Update Date
2019-07-02
Business Address
SURYA KIRAN AEDMA MD
611 W PARK ST
URBANA, IL 61801-2529
Phone number: 217-383-3110
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Mailing Address
SURYA KIRAN AEDMA MD
611 W PARK ST
URBANA, IL 61801-2529
Phone number: 217-383-3110
Copy
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