Individual
NEHA CHOUDARY MUTHAVARAPU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
800 NE GLEN OAK AVE, PEORIA, IL 61603-3255
(309) 655-2274
Mailing address
4370 SCARLET LOOP, WESLEY CHAPEL, FL 33544-7377
(813) 486-9617
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
125081981
IL
Other
Enumeration date
05/23/2023
Last updated
05/23/2023
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