Attaluri, Pratap
Attaluri, Pratap is an individual health care provider with primary practice located at 3248 Vandever Ave , Pekin IL 61554. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Attaluri, Pratap can be contacted via phone (309) 347-5522.Contact Information
Primary practice address
3248 Vandever Ave
Pekin IL 61554
Phone: (309) 347-5522
Fax: (309) 347-7302
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 036084923 | Illinois |
Profile Details
| NPI number | 1689639213 |
|---|---|
| LBN Legal business name | Attaluri, Pratap |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 18th, 2006 |
| Last updated | Mar 7th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689639213 | NPPES |
| Illinois | MEDICAID | 036084923 | |
| Illinois | Other | 00303608492301 |
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