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Individual

KIRIT ANTANI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3331 W DEYOUNG ST, MARION, IL 62959-5896
(618) 998-1161
Mailing address
7100 COMMERCE WAY, SUITE 180, BRENTWOOD, TN 37027-2829
(615) 465-7000
(615) 309-3338

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
36051133
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0360511331
IL
Enumeration date
06/16/2005
Last updated
11/26/2007
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