Individual
TIMIR SUDHAKER BAMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5405 N KNOXVILLE AVE, PEORIA, IL 61614-5016
(309) 691-4410
Mailing address
5405 N KNOXVILLE AVE, PEORIA, IL 61614-5016
(309) 691-4410
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301087231
MI
207RC0000X
Cardiovascular Disease Physician
4301087231
MI
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
036-127197
IL
207RC0001X
Clinical Cardiac Electrophysiology Physician
4301087231
MI
Other
Enumeration date
02/10/2007
Last updated
01/04/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us