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Organization

ILLIANA INTERNAL MEDICINE, L.L.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. VUPPALA V REDDY M.D. (SENIOR PARTNER)
(812) 478-8888
Entity
Organization

Contact information

Practice address
1332 N 7TH ST, TERRE HAUTE, IN 47807-1004
(812) 478-8888
(812) 478-1114
Mailing address
1332 N 7TH ST, TERRE HAUTE, IN 47807-1004
(812) 478-8888
(812) 478-1114

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
0104962A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1093804874
NPI DIPEN SHAH MD
IN
01
1174612931
NPI VUPPALA V REDDY MD
IN
01
1265521058
NPI RAVI KODURU,MD
IN
01
1497844278
NPI KOSHY OOMMEN MD
IN
Enumeration date
01/26/2007
Last updated
09/14/2007
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