Search › Illinois › 207R00000X
Sudha Pravinkumar, M.D
NPI 1215266036 · on the registry since 2009
Practice
- Address
- 2377 Bloomington Ave
Ste B
Streator, IL 61364 - Phone
- (815) 672-1382
- Fax
- (815) 672-5469
- Clinicians at this address
- 2
Additional practice sites
- 1400 Pottery Ave, Port Orchard, WA
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-05-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois