Individual provider · NPI-1

Leena Geetha Adhikesavan, M.D

Internal Medicine · Peoria, IL

NPI number1689735201
StatusActive
Last updated in NPPESDec 13, 2021

Details

NPI
1689735201
Entity type
Individual (NPI-1)
Name
Leena Geetha Adhikesavan
Credential
M.D
Sex
Female
Sole proprietor
No
Enumeration date
Dec 13, 2006
Last updated
Dec 13, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal MedicineMD428780PAYes

Practice location

200 E Pennsylvania Ave
Peoria, IL 61603-3089

Phone 309-655-7900 · Fax 309-655-7903

Mailing address

200 E Pennsylvania Ave
Peoria, IL 61603-3089

Phone 309-655-7900 · Fax 309-655-7903

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