Organization
GOWDAR & GOWDAR MD SC
Active
Other names
Gowdar & Gowdawr MD SC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PRASANNA GOWDAR MD (OWNER)
(217) 876-7200
Entity
Organization
Contact information
Practice address
741 W PERSHING RD, DECATUR, IL 62526
(217) 876-7200
(217) 876-7233
Mailing address
741 W PERSHING RD, DECATUR, IL 62526
(217) 876-7200
(217) 876-7233
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
IL
Other
Enumeration date
04/23/2007
Last updated
08/22/2020
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