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1851601462
PRASANTA BHAMIDIPATI
SPRINGFIELD, IL
NPI
1851601462
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: IL 036126754)
Enumeration Date
2010-10-15
Last Update Date
2015-03-11
Business Address
-- PRASANTA BHAMIDIPATI MD
301 N 8TH ST SUITE PAV 4A
SPRINGFIELD, IL 62701-1041
Phone number: 217-545-8000
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Mailing Address
-- PRASANTA BHAMIDIPATI MD
301 N 8TH ST PO BOX 19658
SPRINGFIELD, IL 62701-1041
Phone number: 217-545-8000
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