PRAVEEN KANDULA

SPRINGFIELD, IL
NPI1912982919
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: IL  036-113938)
Enumeration Date2005-12-13
Last Update Date2009-06-22
Business Address
-- PRAVEEN KANDULA M.D.
751 N RUTLEDGE ST STE 1100
SPRINGFIELD, IL 62702-4909
Phone number: 217-545-0182
Mailing Address
-- PRAVEEN KANDULA M.D.
PO BOX 19636
SPRINGFIELD, IL 62794-9636
Phone number: 217-545-0182
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