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Individual

APARNA SURYADEVARA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
701 N 1ST ST, SPRINGFIELD, IL 62702-3757
(217) 545-0182
(217) 545-4735
Mailing address
PO BOX 19656, SPRINGFIELD, IL 62794-9656
(217) 545-8853
(217) 545-0828

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
125-052181
IL

Other

Enumeration date
05/03/2007
Last updated
10/13/2008
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