Organization
P.SARAVANAN, MD.,SC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATHANJALI SARAVANAN MD (PRESIDENT)
(217) 352-6666
Entity
Organization
Contact information
Practice address
2407 S NEIL ST, SUITE 1A, CHAMPAIGN, IL 61820-7721
(217) 352-6666
(217) 352-6683
Mailing address
2407 S NEIL ST, SUITE 1A, CHAMPAIGN, IL 61820-7721
(217) 352-6666
(217) 352-6683
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
IL
Other
Enumeration date
02/13/2008
Last updated
02/13/2008
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