Individual
VIDYA SAGAR RAO MORISETTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
675 E SNYDER DR STE 1, DECATUR, IL 62526-4766
(217) 875-1886
(217) 875-3120
Mailing address
675 E SNYDER DR STE 1, DECATUR, IL 62526-4766
(217) 875-1886
(217) 875-3120
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036-084779
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036084779
—
IL
Enumeration date
08/24/2006
Last updated
07/17/2014
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