Dr. Sujatha Govindaiah, MD - East Moline, IL

Dr. Sujatha Govindaiah, MD

Specialist in East Moline, Illinois

NPI 1649268053

Sujatha Govindaiah is a Specialist based in East Moline, IL. Sujatha Govindaiah practices in East Moline, IL and has the professional credentials of MD. The NPI Number for Sujatha Govindaiah is 1649268053 and holds a License No. 036060186 (Illinois).

The current practice location address for Sujatha Govindaiah is 4360 Kennedy Dr, East Moline, IL and can be reached out via phone at 309-796-1512 and via fax at 309-796-1887.

Location: 4360 Kennedy Dr, East Moline, IL, 61244-4251

NPI Number

1649268053

Provider Name

Sujatha Govindaiah

Credential

Provider Entity Type

Individual

Gender

Female

Address

4360 Kennedy Dr, East Moline, IL, 61244-4251

Phone Number

309-796-1512

Fax Number

309-796-1887

Provider Enumeration Date

10/10/2005

Last Update Date

03/08/2024

Identifier	Type	State	Issuer
036060186	05	IL

Address

4360 Kennedy Dr

City

East Moline

State

Illinois

Zip

61244-4251

Phone Number

309-796-1512

Fax Number

309-796-1887

Address

4360 Kennedy Dr

City

East Moline

State

Illinois

Zip

61244-4251

Phone Number

309-796-1512

Fax Number

309-796-1887

Type

Other Service Providers

Classification

Specialist

Speciality

Taxonomy

174400000X

License No.

036060186 (Illinois)

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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