Individual
DR. MANJARI UPPU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 655-2000
Mailing address
2401 W ALTA RD APT 302, PEORIA, IL 61615-1284
(309) 989-0271
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036167896
IL
Other
Enumeration date
04/08/2020
Last updated
08/01/2024
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