Individual
DR. KAMATCHI ONDIVEERAPPAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1418 COLLEGE DR, MOUNT CARMEL, IL 62863-2638
(618) 263-6302
Mailing address
1706 COYOTE XING, OLNEY, IL 62450-4334
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036083719
IL
Other
Enumeration date
12/30/2005
Last updated
03/20/2013
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