Search › Illinois › 207RC0200X
Praveen R. Anegondhi Sudhindra, M.D
NPI 1225340045 · on the registry since 2010
Practice
- Address
- 5401 N Knoxville Ave Ste 412b
Peoria, IL 61614 - Phone
- (309) 689-6093
- Fax
- (309) 524-5599
- Organisation at this address
- Patti L Ally
C E Myers Md
Frank I Russo
Champion Fitness, Inc
Proctor Health SystemsInferred from a shared address, not stated in the registry. - Clinicians at this address
- 64
Additional practice sites
- 11310 N Oak Trail Dr, Peoria, IL
Registry record
- Primary taxonomy
- 207RC0200X
207RC0200X
- Also registered as
- 207RI0200X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-07-21
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