Anegondhi Sudhindra, Praveen R.
Anegondhi Sudhindra, Praveen R. is an individual health care provider with primary practice located at 5401 N Knoxville Ave Ste 412B , Peoria IL 61614-5082. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Infectious Disease, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Anegondhi Sudhindra, Praveen R. can be contacted via phone (309) 689-6093.Contact Information
Primary practice address
5401 N Knoxville Ave Ste 412B
Peoria IL 61614-5082
Phone: (309) 689-6093
Fax: (309) 524-5599
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 036.142107 | Illinois |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 036.142107 | Illinois |
Profile Details
| NPI number | 1225340045 |
|---|---|
| LBN Legal business name | Anegondhi Sudhindra, Praveen R. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 9th, 2010 |
| Last updated | Jul 21st, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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