Organization
SRINIVAS JUJJAVARAPU MD LLC
Active
Other names
CENTER FOR BLOOD DISORDERS AND CANCER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SRINIVAS JUJJAVARAPU M.D., (PHYSICIAN)
(972) 808-7469
Entity
Organization
Contact information
Practice address
4505 N ROCKWOOD DR, PEORIA, IL 61615-3803
(630) 799-9399
Mailing address
4505 N ROCKWOOD DR, PEORIA, IL 61615-3803
(630) 799-9399
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
036095582
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036095582
LICENSE
IL
Enumeration date
01/06/2014
Last updated
01/06/2014
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