Individual
DR. KAVITHA KALVAKURI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 624-8818
Mailing address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 624-8818
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125056355
IL
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
Primary
036130069
IL
207RC0000X
Cardiovascular Disease Physician
036130069
IL
Other
Enumeration date
06/19/2009
Last updated
04/10/2025
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