USHASRI KOGANTI MDSC NPI 1255448460

NPI Information

USHASRI KOGANTI MDSC is a family medicine in Ottawa, IL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. USHASRI KOGANTI MDSC NPI is 1255448460. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1129 COLUMBUS ST
OTTAWA, IL
ZIP 61350
Phone: (815) 343-2048
Fax: (815) 434-2177

The provider's authorized official is Ushasri Koganti .
The authorized official title is Physician and has the following contact phone number (815) 434-2048.

The enumeration date for this NPI number is 8/24/2006 and was last updated on 11/19/2010.

Taxonomy Codes

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Other Identifiers

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