Individual
DR. HIMA S ATLURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2981 N MAIN ST, DECATUR, IL 62526-3259
(217) 877-9775
(217) 877-9806
Mailing address
2981 N MAIN ST, DECATUR, IL 62526-3259
(217) 877-9775
(217) 877-9806
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036095807
IL
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
036095807
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036095807
—
IL
Enumeration date
10/26/2005
Last updated
12/28/2021
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