Individual
KAVYA MORAVINENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 E PENNSYLVANIA AVE, PEORIA, IL 61603-3089
(309) 624-4000
(309) 624-4010
Mailing address
200 E PENNSYLVANIA AVE, PEORIA, IL 61603-3089
(309) 624-4000
(309) 624-4010
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036149627
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
IL
Other
Enumeration date
06/02/2015
Last updated
09/29/2025
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