Individual provider · Type 1 NPI

Darshine Venugopal, M.B.B.S.

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

NPI number 1609510833 Active · reactivated Feb 13, 2023

Practice location

530 N.e. Glen Oak Ave
Peoria, IL 61637

Call (309) 655-6384 Map

Fax (309) 655-7732

Mailing address

530 N.e. Glen Oak Ave., Internal Medicine Residency, Ost St. Francis Medical Center
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 1609510833

Darshine Venugopal, M.B.B.S.'s National Provider Identifier is 1609510833, issued on Apr 25, 2022. 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 Feb 13, 2023.