Individual
UMAKANTH AVULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
611 W PARK ST, URBANA, IL 61801-2529
(217) 383-3240
(217) 383-4868
Mailing address
611 W PARK ST, URBANA, IL 61801-2529
(217) 383-3240
(217) 383-4868
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
036156843
IL
2086S0102X
Surgical Critical Care Physician
036156843
IL
2086S0127X
Trauma Surgery Physician
Primary
036-156843
IL
Other
Enumeration date
06/30/2016
Last updated
02/04/2025
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