ASHWIN BALLUPET SHIVAKUMAR

URBANA, IL
NPI1972773950
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: IL  125-050299)
Enumeration Date2008-03-06
Last Update Date2008-03-06
Business Address
-- ASHWIN BALLUPET SHIVAKUMAR MD. MS
611 W PARK ST FORUM LL
URBANA, IL 61801-2500
Phone number: 217-383-3110
Mailing Address
-- ASHWIN BALLUPET SHIVAKUMAR MD. MS
611 W PARK ST FORUM LL
URBANA, IL 61801-2500
Phone number: 217-383-3110
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UNIVERSITY OF ILLINOIS AT URBANA-CHAMPAIGN