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Individual

DR. BHASKARA RAO YELAMANCHILI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
1900 E MAIN ST, DANVILLE, IL 61832-5100
(217) 554-4510
Mailing address
3509 CYPRESS CREEK RD, CHAMPAIGN, IL 61822-7947
(217) 351-7159

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036-107780
IL
207R00000X
Internal Medicine Physician
5894
ND

Other

Enumeration date
08/20/2006
Last updated
05/21/2013
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