Individual
BALAKRISHNA RAVELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3333 N SEMINARY ST, GALESBURG, IL 61401-1251
(309) 344-3161
Mailing address
3333 N SEMINARY ST, GALESBURG, IL 61401-1251
(309) 344-3161
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2019014425
MO
Other
Enumeration date
06/17/2019
Last updated
06/28/2022
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