Individual
DR. KULASEKHAR SAMPATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1900 E MAIN ST, DANVILLE, IL 61832-5100
(217) 554-5450
Mailing address
3629 BAYVIEW DR, DANVILLE, IL 61832
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
IL
Other
Enumeration date
09/05/2006
Last updated
07/08/2007
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