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1730199829
PINNAMANENI PRASAD
SPRINGFIELD, IL
NPI
1730199829
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: IL 036049086)
Enumeration Date
2006-08-09
Last Update Date
2022-01-03
Business Address
PINNAMANENI PRASAD MD
2901 OLD JACKSONVILLE RD
SPRINGFIELD, IL 62704-7437
Phone number: 217-698-9722
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Mailing Address
PINNAMANENI PRASAD MD
PO BOX 500
CHATHAM, IL 62629-0500
Phone number: 217-698-9722
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