Vsr Pllc

NPI #1104510650 in Decatur, Illinois

Provider Information

NPI Number: 1104510650
Entity Type: Organization
Organization Name: Vsr Pllc
Primary Specialty: Internal Medicine
Enumeration Date: Jun 7, 2023
Last Updated: Jun 20, 2023

Practice Location

Address: 180 W IMBODEN DR
City: Decatur
State: Illinois
ZIP Code: 62521-5238
Phone: (715) 207-1134

Authorized Official

Name: VENU M RANGU, MD
Title: PRESIDENT
Phone: (715) 387-9055

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Hospitalist	208M00000X
Internal Medicine	207R00000X	Primary

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