Individual
DR. VIMAL MASTER SANKAR RAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637-3105
(309) 624-8884
Mailing address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 624-8884
Taxonomy
Speciality
Code
Description
License number
State
2080P0210X
Pediatric Nephrology Physician
Primary
036133119
IL
Other
Enumeration date
07/25/2007
Last updated
04/27/2016
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