Individual
DR. THEJESWI PUJAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
927 BROADWAY ST, QUINCY, IL 62301-2719
(217) 214-6260
(217) 228-2390
Mailing address
1005 BROADWAY ST, QUINCY, IL 62301-2834
(217) 223-8400
(217) 277-3960
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036134313
IL
207RN0300X
Nephrology Physician
Primary
036134313
IL
207RN0300X
Nephrology Physician
2020012130
MO
208M00000X
Hospitalist Physician
39027
IA
390200000X
Student in an Organized Health Care Education/Training Program
A111563
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1407008055
—
IA
Enumeration date
10/15/2008
Last updated
02/11/2026
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