| Amky Mso-1 Pllc | |
|
1325 W Whittaker St Ste D Salem IL 62881-2034 | |
| (678) 982-3590 | |
| Not Available |
| Full Name | Amky Mso-1 Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1325 W Whittaker St Ste D, Salem, Illinois |
| Authorized Official Name and Position | Yugandhar Kandimalla (PRESIDENT) |
| Authorized Official Contact | 6789823590 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amky Mso-1 Pllc 1325 W Whittaker St Ste D Salem IL 62881-2034 Ph: () - | Amky Mso-1 Pllc 1325 W Whittaker St Ste D Salem IL 62881-2034 Ph: (678) 982-3590 |
| NPI Number | 1821817503 |
|---|---|
| Provider Enumeration Date | 10/09/2024 |
| Last Update Date | 10/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821817503 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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