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Organization
SRINIVAS JUJJAVARAPU MD LLC
Active
Organization
SRINIVAS JUJJAVARAPU MD LLC
Active
Other names
CENTER FOR BLOOD DISORDERS AND CANCER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SRINIVAS JUJJAVARAPU M.D., (PHYSICIAN)
(972) 808-7469
Entity
Organization
Contact information
Practice address
4505 N ROCKWOOD DR, PEORIA, IL 61615-3803
(630) 799-9399
Mailing address
4505 N ROCKWOOD DR, PEORIA, IL 61615-3803
(630) 799-9399
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
036095582
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036095582
LICENSE
IL
Enumeration date
01/06/2014
Last updated
01/06/2014
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