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Contact Information

DEEPTHI SEEKURI MANOJ, MD
1900 E LAKE SHORE DR
DECATUR, IL62521-3824
 Phone: 217-423-2889
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Special Hospital

284300000X A0[7] Hospital-Specialty Hospital (cardiac, orthopedic, surgical)
Indicates primary specialty

NPI Profile & details for DEEPTHI SEEKURI MANOJ · (Female)

NPI # 1881935435
Status Active
Credentials MD
Entity Individual
Enumeration date 03/06/2013
Last updated 07/14/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 036138351
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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