| Gowdar & Gowdawr Md Sc | |
|
741 W Pershing Rd Decatur IL 62526 | |
| (217) 876-7200 | |
| (217) 876-7233 |
| Full Name | Gowdar & Gowdawr Md Sc |
|---|---|
| Speciality | Family Medicine |
| Location | 741 W Pershing Rd, Decatur, Illinois |
| Authorized Official Name and Position | Prasanna Gowdar (OWNER) |
| Authorized Official Contact | 2178767200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gowdar & Gowdawr Md Sc 741 W Pershing Rd Decatur IL 62526 Ph: (217) 876-7200 | Gowdar & Gowdawr Md Sc 741 W Pershing Rd Decatur IL 62526 Ph: (217) 876-7200 |
| NPI Number | 1154549533 |
|---|---|
| Provider Enumeration Date | 04/23/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154549533 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Illinois) | Primary |
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