Individual
ESWARA V ASAPU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
611 W PARK ST, FORUM LL, URBANA, IL 61801-2500
(217) 383-3110
(217) 244-0621
Mailing address
611 W. PARK ST., BWPC, URBANA, IL 61801-2500
(217) 383-6792
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036130479
IL
207R00000X
Internal Medicine Physician
125055855
IL
Other
Enumeration date
05/07/2009
Last updated
09/01/2016
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