Individual
DR. ANUSHA REDDY AKEPATI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M D
Contact information
Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637
(309) 624-8818
Mailing address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 624-8818
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036139956
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/12/2013
Last updated
07/20/2018
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