Adhikesavan, Leena Geetha

Adhikesavan, Leena Geetha is an individual health care provider with primary practice located at 200 E Pennsylvania Ave , Peoria IL 61603-3089. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Adhikesavan, Leena Geetha can be contacted via phone (309) 655-7900.

Contact Information

Primary practice address
200 E Pennsylvania Ave Peoria IL 61603-3089
Phone: (309) 655-7900
Fax: (309) 655-7903
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD428780 Pennsylvania

Profile Details

NPI number 1689735201
LBN Legal business name Adhikesavan, Leena Geetha
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2006
Last updated Dec 13th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689735201 NPPES
Illinois Other P00625598 RR MEDICARE MEMBER PTAN
Illinois Other 809840 RR MEDICARE MEMBER PTAN
Illinois MEDICAID 036121503 RR MEDICARE MEMBER PTAN
Illinois Other CA4079 RR MEDICARE MEMBER PTAN

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