SRAVANTHI NAGAVALLI

ROCKFORD, IL
NPI1861655375
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism
(Licence: IL  036-127591)
Additional Taxonomies207R00000X Internal Medicine
(Licence: KS  9407033)
Enumeration Date2008-07-03
Last Update Date2021-02-19
Business Address
SRAVANTHI NAGAVALLI MD
1253 N ALPINE RD
ROCKFORD, IL 61107
Phone number: 779-696-9201
Mailing Address
SRAVANTHI NAGAVALLI MD
PO BOX 78866
MILWAUKEE, WI 53278-8866
Phone number: 779-696-7150