person
Vikas Manjunath, MD
Student in an Organized Health Care Education/Training Program in Peoria, Illinois
NPI 1902549439

Vikas Manjunath is a Student in an Organized Health Care Education/Training Program based in Barrington, IL. Vikas Manjunath practices in Peoria, IL and has the professional credentials of MD. The NPI Number for Vikas Manjunath is 1902549439 and holds a License No. 390200000X (Illinois).

The current practice location address for Vikas Manjunath is 900 Main St Ste 720, Peoria, IL and can be reached out via phone at 309-495-1640.

Location: 900 Main St Ste 720, Peoria, IL, 60010-9335
person
Provider Profile Details
NPI Number
1902549439
Provider Name
Vikas Manjunath
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
900 Main St Ste 720, Peoria, IL, 60010-9335
Phone Number
309-495-1640
Fax Number
Provider Enumeration Date
04/13/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
900 Main St Ste 720
City
State
Zip
61602-5027
Phone Number
309-495-1640
Fax Number
person
Provider Business Mailing Address Details
Address
900 Main St Ste 720
City
State
Zip
61602-5027
Phone Number
309-495-1640
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.
390200000X (Illinois)
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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