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Dr. Pavana Sreenivasan, MD
Pediatric Critical Care Medicine Physician in Peoria, Illinois
NPI 1669905113

Pavana Sreenivasan is a Pediatric Critical Care Medicine Physician based in Orange, IL and is specialized in Pediatric Critical Care Medicine. Pavana Sreenivasan practices in Peoria, IL and has the professional credentials of MD. The NPI Number for Pavana Sreenivasan is 1669905113 and holds a License No. (Illinois).

The current practice location address for Pavana Sreenivasan is 530 Ne Glen Oak Ave, Peoria, IL and can be reached out via phone at 309-624-0716. You can also correspond with Pavana Sreenivasan through the mailing address at 1201 W LA VETA AVE, ORANGE, CA - 92868-4203 (mailing address contact number: ).

Location: 530 Ne Glen Oak Ave, Peoria, IL, 92868-4203
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669905113
Provider Name
Pavana Sreenivasan
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
530 Ne Glen Oak Ave, Peoria, IL, 92868-4203
Phone Number
309-624-0716
Fax Number
Provider Enumeration Date
04/11/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
530 Ne Glen Oak Ave
City
Peoria
State
Illinois
Zip
61637-0001
Phone Number
309-624-0716
Fax Number
person
Provider Business Mailing Address Details
Address
1201 W La Veta Ave
City
Orange
State
California
Zip
92868-4203
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Pediatric Critical Care Medicine
Taxonomy
2080P0203X
License No.
036.164817 (Illinois)
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
person
Provider's Taxonomy Details 2
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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