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

Mr. Divyang Pradhan, MBBS

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1205772415

Mr. Divyang Pradhan, MBBS is a Student in an Organized Health Care Education/Training Program in Peoria, Illinois. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
MBBS — Bachelor of Medicine, Bachelor of Surgery
The medical degree awarded in the UK, India and many Commonwealth countries; equivalent to an MD.

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Practice location Address checks out

530 NE Glen Oak Ave
Peoria, IL 61637
Phone: (309) 624-9351
Fax: (309) 655-7732
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1205772415
Entity typeIndividual (Type 1)
GenderMale
Credentials MBBS
Sole proprietorNo
NPI enumeratedApril 28, 2026
Last updated in NPPESApril 28, 2026
Mailing addressOsf St Francis Medical Centre, 530 Ne Glen Oak Avenue, Internal Medicine Residency Attn: Marti Sokolowski, Peoria, IL 61637

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