Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Bhavana Thota Kandikattu, MD

Individual provider Pediatrics Physician · NPI 1447452180

Dr. Bhavana Thota Kandikattu, MD is a Pediatrics Physician in Peoria, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

530 NE Glen Oak Ave
Peoria, IL 61637-0001
Phone: (309) 573-1167
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 125050396 (IL)

Record details

NPI number1447452180
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 4, 2007
Last updated in NPPESAugust 15, 2023
Certification dateAugust 15, 2023

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