Vakya Reddy Revanur, MBBS

NPI #1932957008 in Peoria, Illinois

Provider Information

NPI Number
1932957008
Entity Type
Individual
Name
Vakya Reddy Revanur, MBBS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Student in an Organized Health Care Education/Training Program
Credential
MBBS
Enumeration Date
May 13, 2024
Last Updated
Jul 22, 2024

Practice Location

Address
530 NE GLEN OAK AVE, OSF ST. FRANCIS MEDICAL CENTER, IN
Address 2
ATTN: MARTI SOKOLOWSKI
City
Peoria
ZIP Code
61637
Phone
(309) 624-9351

Specialties & Taxonomy Codes

Specialty
Student in an Organized Health Care Education/Training Program

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