SURYA THEJA POLAVARAPU

QUINCY, IL
NPI1780242776
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IL  125-074374)
Enumeration Date2019-06-04
Last Update Date2019-06-04
Business Address
SURYA THEJA POLAVARAPU MD
612 N 11TH ST
QUINCY, IL 62301-2662
Phone number: 217-224-9484
Mailing Address
SURYA THEJA POLAVARAPU MD
612 N 11TH ST
QUINCY, IL 62301-2662
Phone number: 217-224-9484
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