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Individual
DR. PRAMODE KUMAR KESHAVA
Active
Individual
DR. PRAMODE KUMAR KESHAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
036094000
IL
207R00000X
Internal Medicine Physician
Primary
036.094000
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036094000
—
IL
Enumeration date
06/20/2006
Last updated
10/16/2019
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