SHYAM KIRAN GANDAM VENKATA

SPRINGFIELD, IL
NPI1629332754
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207RC0200X Internal Medicine, Critical Care Medicine
(Licence: IL  036143316)
Enumeration Date2012-07-03
Last Update Date2022-01-18
Business Address
Dr. SHYAM KIRAN GANDAM VENKATA MD
701 N 1ST ST
SPRINGFIELD, IL 62781-2604
Phone number: 217-528-7541
Mailing Address
Dr. SHYAM KIRAN GANDAM VENKATA MD
1025 S 6TH ST
SPRINGFIELD, IL 62703-2403
Phone number: 217-528-7541
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