Dr. Bhargava Krishna Nelluri
Internal Medicine in Mount Vernon, IL. Individual provider (NPI-1).
NPI number1164047726
StatusActive
Last updated in NPPESSep 26, 2026
Details
- NPI
- 1164047726
- Entity type
- Individual (NPI-1)
- Name
- Dr. Bhargava Krishna Nelluri
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 10, 2020
- Certification date
- Sep 26, 2026
- Last updated
- Sep 26, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 036.168999 | IL | Yes |
Practice location
4103 S Water Tower PlMount Vernon, IL 62864-6293
Phone 618-899-3500
Mailing address
4103 S Water Tower PlMount Vernon, IL 62864-6293
Phone 618-899-3500
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