Individual
MS. MEDHA RAJAMANURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
751 N RUTLEDGE ST # 1100, SPRINGFIELD, IL 62702-4968
(217) 535-8000
(217) 545-8000
Mailing address
3000 STAUNTON AVE SE, APT 18, CHARLESTON, WV 25304
(754) 277-9866
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/20/2022
Last updated
07/05/2023
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