Ushasri Koganti Mdsc
Ushasri Koganti Mdsc is a Family Medicine Physician in Ottawa, Illinois. Licensed in Illinois. Registered with an NPI since 2006.
- Licensed in
- IL
- In the registry since
- 2006
Practice location Address checks out
1129 Columbus StOttawa, IL 61350
Phone: (815) 343-2048
Fax: (815) 434-2177
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Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 036-096808 (IL) |
|---|
Record details
| NPI number | 1255448460 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ushasri Koganti — Physician · (815) 434-2048 |
| NPI enumerated | August 24, 2006 |
| Last updated in NPPES | November 19, 2010 |
| Mailing address | 1129 Columbus St, Ottawa, IL 61350 |
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