Individual
RAMAYYA U GOWDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
180 SOUTH MAIN STREET, CANTON, IL 61520-2608
(309) 647-0201
(309) 649-6880
Mailing address
180 SOUTH MAIN STREET, CANTON, IL 61520-2608
(309) 647-0201
(309) 649-5101
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036-053154
IL
208600000X
Surgery Physician
036053154
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0062839
UMWA
IL
01
—
014148
HEALTH ALLIANCE
IL
01
—
02922981
BCBS
IL
05
—
036053154
—
IL
01
—
053154
OSF HEALTHPLANS
IL
01
—
136064
HEALTH LINK
IL
01
—
1942315197
NPI CLINIC NUMBER
IL
01
—
200397
BLACK LUNG
IL
01
—
770002357
RR MEDICARE PIN
IL
01
—
CG5172
RR MEDICARE GROUP#
IL
01
—
IL0108
JOHN DEERE
IL
Enumeration date
08/28/2006
Last updated
04/15/2016
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