Individual provider · NPI-1
Dr. Hima S Atluri, MD
Internal Medicine, Geriatric Medicine · Decatur, IL
NPI number1609866052
StatusActive
Last updated in NPPESDec 28, 2021
Details
- NPI
- 1609866052
- Entity type
- Individual (NPI-1)
- Name
- Dr. Hima S Atluri
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 26, 2005
- Certification date
- Dec 28, 2021
- Last updated
- Dec 28, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RG0300X | Internal Medicine, Geriatric Medicine | 036095807 | IL | Yes |
| 207R00000X | Internal Medicine | 036095807 | IL |
Practice location
2981 N Main StDecatur, IL 62526-3259
Phone 217-877-9775 · Fax 217-877-9806
Mailing address
2981 N Main StDecatur, IL 62526-3259
Phone 217-877-9775 · Fax 217-877-9806
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