person
Rishi Manish Bothara, MBBS
Student in an Organized Health Care Education/Training Program in Peoria, Illinois
NPI 1225729650

Rishi Manish Bothara is a Student in an Organized Health Care Education/Training Program based in Peoria, IL. Rishi Manish Bothara practices in Peoria, IL and has the professional credentials of MBBS. The NPI Number for Rishi Manish Bothara is 1225729650 and holds a License No. (Illinois).

The current practice location address for Rishi Manish Bothara is 530 N.e. Glen Oak Ave, Peoria, IL and can be reached out via phone at 309-624-9351 and via fax at 309-655-7732.

Location: 530 N.e. Glen Oak Ave, Peoria, IL, 61637
person
Provider Profile Details
NPI Number
1225729650
Provider Name
Rishi Manish Bothara
Credential
MBBS
Provider Entity Type
Individual
Gender
Male
Address
530 N.e. Glen Oak Ave, Peoria, IL, 61637
Phone Number
309-624-9351
Fax Number
309-655-7732
Provider Enumeration Date
05/17/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
530 N.e. Glen Oak Ave
City
State
Zip
61637
Phone Number
309-624-9351
Fax Number
309-655-7732
person
Provider Business Mailing Address Details
Address
530 N.e. Glen Oak Ave
City
State
Zip
61637
Phone Number
309-624-9351
Fax Number
309-655-7732
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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