Individual
GAURAV SANGWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1025 S 6TH ST, SPRINGFIELD, IL 62703
(217) 528-7541
Mailing address
1025 S 6TH ST, SPRINGFIELD, IL 62703-2403
(217) 528-7541
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036119178
IL
207RP1001X
Pulmonary Disease Physician
Primary
036119178
IL
Other
Enumeration date
05/16/2007
Last updated
05/20/2020
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