Individual provider · Type 1 NPI

Divyang Pradhan, MBBS

Student in an Organized Health Care Education/Training Program · Peoria, IL

NPI number 1205772415 Active

Practice location

530 NE Glen Oak Avenue
Peoria, IL 61637

Call (309) 624-9351 Map

Fax (309) 655-7732

Mailing address

Osf St Francis Medical Centre, 530 NE Glen Oak Avenue,, Internal Medicine Residency Attn: Marti Sokolowski
Peoria, IL 61637

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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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About NPI 1205772415

Divyang Pradhan, MBBS's National Provider Identifier is 1205772415, issued on Apr 28, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Peoria, IL. The record was last updated on Sep 28, 2026.