Mastan Rao Indlamuri, M.D.,

NPI #1134561913 in Springfield, Illinois

Provider Information

NPI Number: 1134561913
Entity Type: Individual
Name: Mastan Rao Indlamuri, M.D.,
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: M.D.,
Enumeration Date: Jul 22, 2013
Last Updated: Feb 12, 2018

Practice Location

Address: 2239 E COOK ST
City: Springfield
State: Illinois
ZIP Code: 62703-1944
Phone: (713) 500-7616

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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