Individual
BHASKAR R DAMERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
151 N MAIN ST, DECATUR, IL 62523-1206
(217) 362-6262
Mailing address
310 E TORRANCE AVE, PO BOX 768, PONTIAC, IL 61764-2748
(815) 844-6109
(815) 844-3561
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
IL
Other
Enumeration date
11/07/2006
Last updated
07/08/2007
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