person
Sruthi Samala, DO
Student in an Organized Health Care Education/Training Program in Peoria, Illinois
NPI 1851951123

Sruthi Samala is a Student in an Organized Health Care Education/Training Program based in Peoria, IL. Sruthi Samala practices in Peoria, IL and has the professional credentials of DO. The NPI Number for Sruthi Samala is 1851951123 and holds a License No. (Illinois).

The current practice location address for Sruthi Samala is 800 Ne Glen Oak Ave, Peoria, IL and can be reached out via phone at 309-655-2850.

Location: 800 Ne Glen Oak Ave, Peoria, IL, 61603-3255
person
Provider Profile Details
NPI Number
1851951123
Provider Name
Sruthi Samala
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
800 Ne Glen Oak Ave, Peoria, IL, 61603-3255
Phone Number
309-655-2850
Fax Number
Provider Enumeration Date
06/18/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
800 Ne Glen Oak Ave
City
State
Zip
61603-3255
Phone Number
309-655-2850
Fax Number
person
Provider Business Mailing Address Details
Address
800 Ne Glen Oak Ave
City
State
Zip
61603-3255
Phone Number
309-655-2850
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
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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