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Dr. Bhavana Thota Kandikattu, MD
Pediatrics Physician in Peoria, Illinois
NPI 1447452180

Bhavana Thota Kandikattu is a Pediatrics Physician based in Peoria, IL. Bhavana Thota Kandikattu practices in Peoria, IL and has the professional credentials of MD. The NPI Number for Bhavana Thota Kandikattu is 1447452180 and holds a License No. 125050396 (Illinois).

The current practice location address for Bhavana Thota Kandikattu is 530 Ne Glen Oak Ave, Peoria, IL and can be reached out via phone at 309-573-1167.

Location: 530 Ne Glen Oak Ave, Peoria, IL, 61637-0001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447452180
Provider Name
Bhavana Thota Kandikattu
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
530 Ne Glen Oak Ave, Peoria, IL, 61637-0001
Phone Number
309-573-1167
Fax Number
Provider Enumeration Date
06/04/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036121510 05 IL
809840 01 IL MEDICARE GROUP PTAN
institution
Provider Business Practice Location Address Details
Address
530 Ne Glen Oak Ave
City
Peoria
State
Illinois
Zip
61637-0001
Phone Number
309-573-1167
Fax Number
person
Provider Business Mailing Address Details
Address
530 Ne Glen Oak Ave
City
Peoria
State
Illinois
Zip
61637-0001
Phone Number
309-573-1167
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
208000000X
License No.
125050396 (Illinois)
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
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