Individual
DR. PANDURANGA RAMAKRISHNA KINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7 PARK PL STE A, SWANSEA, IL 62226-2916
(618) 233-1151
(618) 235-1079
Mailing address
7 PARK PL STE A, SWANSEA, IL 62226-2916
(618) 233-1151
(618) 235-1079
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08200528
BCBS
IL
01
—
100708
HEALTH LINK (HLK)
IL
01
—
34490
GHP
IL
01
—
4000537
AETNA
IL
Enumeration date
08/31/2006
Last updated
07/08/2007
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