Individual
BHARGAVI DHANIREDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
611 W PARK ST, URBANA, IL 61801-2529
(217) 326-1272
Mailing address
611 W PARK ST, URBANA, IL 61801-2529
(217) 326-1272
(217) 383-6388
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
125080002
IL
Other
Enumeration date
06/15/2022
Last updated
10/09/2024
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