| Illiana Internal Medicine, L.l.c. | |
|
1332 N 7th St Terre Haute IN 47807-1004 | |
| (812) 478-8888 | |
| (812) 478-1114 |
| Full Name | Illiana Internal Medicine, L.l.c. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1332 N 7th St, Terre Haute, Indiana |
| Authorized Official Name and Position | Vuppala V Reddy (SENIOR PARTNER) |
| Authorized Official Contact | 8124788888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Illiana Internal Medicine, L.l.c. 1332 N 7th St Terre Haute IN 47807-1004 Ph: (812) 478-8888 | Illiana Internal Medicine, L.l.c. 1332 N 7th St Terre Haute IN 47807-1004 Ph: (812) 478-8888 |
| NPI Number | 1003962549 |
|---|---|
| Provider Enumeration Date | 01/26/2007 |
| Last Update Date | 09/14/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003962549 | NPI | - | NPPES |
| 1265521058 | Other | IN | NPI RAVI KODURU,MD |
| 1174612931 | Other | IN | NPI VUPPALA V REDDY MD |
| 1093804874 | Other | IN | NPI DIPEN SHAH MD |
| 1497844278 | Other | IN | NPI KOSHY OOMMEN MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 0104962A (Indiana) | Primary |
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