Individual
DR. PRAVIN KUMAR MUNIYAPPA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2525 S MICHIGAN AVE, 2-614, CHICAGO, IL 60616-2315
(312) 945-8640
(312) 626-2170
Mailing address
2525 S MICHIGAN AVE, CHICAGO, IL 60616-2315
(312) 945-8640
(312) 626-2170
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
036105193
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A782820
—
CA
05
—
036105193
—
IL
Enumeration date
06/11/2006
Last updated
11/06/2015
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