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Miss Darshine Venugopal, MBBS
Student in an Organized Health Care Education/Training Program in Peoria, Illinois
NPI 1609510833

Darshine Venugopal is a Student in an Organized Health Care Education/Training Program based in Peoria, IL. Darshine Venugopal practices in Peoria, IL and has the professional credentials of MBBS. The NPI Number for Darshine Venugopal is 1609510833 and holds a License No. (Illinois).

The current practice location address for Darshine Venugopal is 530 N.e. Glen Oak Ave, Peoria, IL and can be reached out via phone at 309-655-6384 and via fax at 309-655-7732.

Location: 530 N.e. Glen Oak Ave, Peoria, IL, 61637
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609510833
Provider Name
Darshine Venugopal
Credential
MBBS
Provider Entity Type
Individual
Gender
Female
Address
530 N.e. Glen Oak Ave, Peoria, IL, 61637
Phone Number
309-655-6384
Fax Number
309-655-7732
Provider Enumeration Date
04/25/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
530 N.e. Glen Oak Ave
City
Peoria
State
Illinois
Zip
61637
Phone Number
309-655-6384
Fax Number
309-655-7732
person
Provider Business Mailing Address Details
Address
530 N.e. Glen Oak Ave
City
Peoria
State
Illinois
Zip
61637
Phone Number
309-655-6384
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
390200000X
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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