Individual
DEEPA SIRIGEERE PRABHAKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
611 W PARK ST, URBANA, IL 61801-2529
(217) 337-2073
(217) 366-6106
Mailing address
611 W PARK ST, URBANA, IL 61801-2529
(217) 383-1554
(217) 383-5230
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
036137923
IL
Other
Enumeration date
01/27/2010
Last updated
02/11/2020
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