Sreenivasa Basavanthappa is a Retina Specialist (Ophthalmology) Physician based in Bloomington, IL and is specialized in Retina Specialist. Sreenivasa Basavanthappa practices in Bloomington, IL and has the professional credentials of MD. The NPI Number for Sreenivasa Basavanthappa is 1497953871 and holds a License No. 03-6163408 (Illinois).
The current practice location address for Sreenivasa Basavanthappa is 2501 E College Ave Ste B, Bloomington, IL and can be reached out via phone at 309-557-8666 and via fax at 309-827-8027. You can also correspond with Sreenivasa Basavanthappa through the mailing address at 1008 N MAIN ST, BLOOMINGTON, IL - 61701-1784 (mailing address contact number: 309-557-8666).
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110096239A | 05 | MA |
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