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Individual

DR. HARISH REDDY PATLOLLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1100 36TH AVE, MOLINE, IL 61265-7127
(309) 743-6700
(309) 764-2042
Mailing address
1100 36TH AVE, MOLINE, IL 61265-7127
(309) 743-6700
(309) 764-2042

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125061133
IL
207RC0000X
Cardiovascular Disease Physician
Primary
01083684A
IN

Other

Enumeration date
07/11/2012
Last updated
09/24/2024
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