Dr. Bhavana Suren Kandikattu
MD | Pediatrics | Female
Dr. Bhavana Suren Kandikattu, MD is a Peoria, Illinois based Pediatric doctor with medical specialization in
General Pediatrics. Dr. Bhavana Suren Kandikattu is also known as
Bhavana Thota.
Current practice location of Dr. Bhavana Suren Kandikattu is
530 Ne Glen Oak Ave, Peoria, Illinois - 61637-0001. She can be contacted on phone at
309-573-1167.
Dr. Bhavana Suren Kandikattu is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Bhavana Suren Kandikattu is
1447452180 which was assigned by NPPES on 04 Jun, 2007 and it was last updated on 19 Dec, 2008.
Dr. Bhavana Suren Kandikattu license number is
125050396 for Pediatrics (208000000X) in Illinois.
Dr. Bhavana Suren Kandikattu is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Bhavana Suren Kandikattu basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Bhavana Suren Kandikattu |
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| Other Name : | Bhavana Thota |
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| Credential : | MD |
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| Gender : | Female |
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| Sole Proprietor : | Yes |
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Business Address:
Dr. Bhavana Suren Kandikattu address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 530 Ne Glen Oak Ave
Peoria, IL, 61637-0001
United States |
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| Phone Number : | 309-573-1167 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1447452180 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 04 Jun, 2007 |
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| Last Updated On : | 19 Dec, 2008 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Bhavana Suren Kandikattu are as mentioned. Primary taxonomy code for Dr. Bhavana Suren Kandikattu, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 125050396 | IL |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Bhavana Suren Kandikattu such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 036121510 | MEDICAID | IL | |
| 809840 | Other | IL | MEDICARE GROUP PTAN |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 530 Ne Glen Oak Ave
Peoria, IL, 61637-0001
United States |
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| Phone Number : | 309-573-1167 |
|---|
Business Location:
Patients can refer following map for directions to
Dr. Bhavana Suren Kandikattu practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.