Dewashrayee, Vishakha

Dewashrayee, Vishakha is an sole proprietor health care provider with primary practice located at 7717 N Orange Prairie Rd , Peoria IL 61615-9323. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Dewashrayee, Vishakha can be contacted via phone (309) 589-6800.

Contact Information

Primary practice address
7717 N Orange Prairie Rd Peoria IL 61615-9323
Phone: (309) 589-6800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209025476 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 209.025476 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209.025476 Illinois

Profile Details

NPI number 1841925948
LBN Legal business name Dewashrayee, Vishakha
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 21st, 2022
Last updated Apr 9th, 2023 - 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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