Seekuri Manoj, Deepthi
Seekuri Manoj, Deepthi is an sole proprietor health care provider with primary practice located at 1900 E Lake Shore Dr , Decatur IL 62521-3824. She recently has 2 registered licenses in different health care specialties including Hospitals / Special Hospital, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Seekuri Manoj, Deepthi can be contacted via phone (217) 423-2889.Contact Information
Primary practice address
1900 E Lake Shore Dr
Decatur IL 62521-3824
Phone: (217) 423-2889
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Hospitals / Special Hospital | 284300000X | ||
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 036138351 | Illinois |
Profile Details
| NPI number | 1881935435 |
|---|---|
| LBN Legal business name | Seekuri Manoj, Deepthi |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 6th, 2013 |
| Last updated | Jul 14th, 2015 - about 9 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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