Individual
BHANU K VAKKALANKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
407 E VERNON AVE, NORMAL, IL 61761-3813
(309) 451-8500
(309) 451-2299
Mailing address
611 W. PARK ST, FAPC, URBANA, IL 61801
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
57010826
OH
207RX0202X
Medical Oncology Physician
Primary
036125938
IL
207RX0202X
Medical Oncology Physician
60946
MN
Other
Enumeration date
06/06/2007
Last updated
02/14/2024
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