Ushasri Koganti Mdsc

NPI #1255448460 in Ottawa, Illinois

Provider Information

NPI Number: 1255448460
Entity Type: Organization
Organization Name: Ushasri Koganti Mdsc
Primary Specialty: Family Medicine
Enumeration Date: Aug 24, 2006
Last Updated: Nov 19, 2010

Practice Location

Address: 1129 COLUMBUS ST
City: Ottawa
State: Illinois
ZIP Code: 61350
Phone: (815) 343-2048

Authorized Official

Name: DR. USHASRI KOGANTI, MD
Title: PHYSICIAN
Phone: (815) 434-2048

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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