Individual provider · Type 1 NPI

Vakya Reddy Revanur, MBBS

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

NPI number 1932957008 Active

Practice location

530 NE Glen Oak Ave, Osf St. Francis Medical Center, In, Attn: Marti Sokolowski
Peoria, IL 61637

Call (309) 624-9351 Map

Fax (309) 655-7732

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 1932957008

Vakya Reddy Revanur, MBBS's National Provider Identifier is 1932957008, issued on May 13, 2024. 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 Jul 22, 2024.