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Ushasri Koganti Mdsc
Family Medicine Physician in Ottawa, Illinois
NPI 1255448460

Ushasri Koganti Mdsc is a Family Medicine Physician based in Ottawa, IL. Ushasri Koganti Mdsc practices in Ottawa, IL. The NPI Number for Ushasri Koganti Mdsc is 1255448460 and holds a License No. 036-096808 (Illinois).

The current practice location address for Ushasri Koganti Mdsc is 1129 Columbus St, Ottawa, IL and can be reached out via phone at 815-343-2048 and via fax at 815-434-2177.

Location: 1129 Columbus St, Ottawa, IL, 61350
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1255448460
Provider Name
Ushasri Koganti Mdsc
Credential
Provider Entity Type
Organization
Address
1129 Columbus St, Ottawa, IL, 61350
Phone Number
815-343-2048
Fax Number
815-434-2177
Provider Enumeration Date
08/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036-096808 05 IL
institution
Provider Business Practice Location Address Details
Address
1129 Columbus St
City
Ottawa
State
Illinois
Zip
61350
Phone Number
815-343-2048
Fax Number
815-434-2177
person
Provider Business Mailing Address Details
Address
1129 Columbus St
City
Ottawa
State
Illinois
Zip
61350
Phone Number
815-343-2048
Fax Number
815-434-2177
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
036-096808 (Illinois)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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