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Individual

AKHIL SHIVAPRASAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
751 N RUTLEDGE ST STE 3100, SPRINGFIELD, IL 62702-4968
(217) 545-8000
(217) 545-7363
Mailing address
PO BOX 19639, SPRINGFIELD, IL 62794-9639
(217) 545-8000
(844) 470-2486

Taxonomy

Speciality
Code
Description
License number
State
2084N0008X
Neuromuscular Medicine (Psychiatry & Neurology) Physician
Primary
036.167709
IL
2084N0400X
Neurology Physician
036.167709
IL
390200000X
Student in an Organized Health Care Education/Training Program
BP10068494
TX

Other

Enumeration date
07/03/2019
Last updated
02/27/2024
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