Individual
DEEPA ELIZABETH KALAPURAYIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2512 HURST DR STE 130, MATTOON, IL 61938-9200
(217) 258-5900
Mailing address
611 W PARK ST, URBANA, IL 61801-2501
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036155220
IL
208M00000X
Hospitalist Physician
Primary
036155220
IL
390200000X
Student in an Organized Health Care Education/Training Program
125.072653
IL
Other
Enumeration date
06/18/2018
Last updated
04/13/2026
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