Individual
DURGA K PAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
101 W UNIVERSITY AVE, CHAMPAIGN, IL 61820-3909
(217) 366-1285
Mailing address
101 W UNIVERSITY AVE, CHAMPAIGN, IL 61820-3909
(217) 366-1285
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
01068868
IN
2085R0202X
Diagnostic Radiology Physician
Primary
01068868
IN
2085R0202X
Diagnostic Radiology Physician
125-046842
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201011820
—
IN
Enumeration date
05/17/2007
Last updated
01/05/2022
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