Individual
JEEVANA SREEJA AMBATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
751 N RUTLEDGE, SUITE 1700, SPRINGFIELD, IL 62702
(217) 545-0166
(217) 545-1229
Mailing address
PO BOX 19648, SPRINGFIELD, IL 62794-9648
(217) 545-8000
(217) 545-9125
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4351048555
MI
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
125-084109
IL
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
DR.0076729
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/21/2021
Last updated
05/07/2026
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