Individual
MRS. KAVITHA RAMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1400 W PARK ST, URBANA, IL 61801-2334
(217) 337-2462
(217) 337-4541
Mailing address
1100 TUSCOLA BLVD, TUSCOLA, IL 61953-2065
(217) 253-2020
(217) 253-2023
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036099624
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036099624
—
IL
Enumeration date
07/23/2006
Last updated
12/04/2025
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