Individual
SRI MAHATHI PRIYANKA KALIPATNAPU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBBS,MD
Contact information
Practice address
200 PROFESSIONAL PLZ, MATTOON, IL 61938-9280
(309) 676-8123
(309) 676-8455
Mailing address
420 NE GLEN OAK AVE STE 401, PEORIA, IL 61603-3112
(309) 676-8123
(309) 676-8455
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125070111
IL
207RN0300X
Nephrology Physician
Primary
036151563
IL
Other
Enumeration date
05/17/2017
Last updated
01/16/2025
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