Individual
MS. KEERTHANA PALANIAPPA SIVAKOLUNDU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637
(309) 655-2730
(309) 655-3297
Mailing address
OSF ST. FRANCIS MEDICAL CENTER, INTERNAL MEDICINE RESID, 530 NE GLEN OAK AVE, PEORIA, IL 61637
(309) 655-2730
(309) 655-3297
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
125.079672
IL
Other
Enumeration date
04/22/2022
Last updated
07/28/2022
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