Individual
SAHITYA CHIRAMANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
402 S LEWIS LN, CARBONDALE, IL 62901
(618) 519-9200
(618) 519-9375
Mailing address
109 CALIFORNIA STREET, P O BOX 577, CARTERVILLE, IL 62918-0577
(618) 519-9200
(618) 985-4635
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.032434
IL
122300000X
Dentist
DS041086
PA
Other
Enumeration date
01/03/2017
Last updated
11/21/2019
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