Most Relevant Information
Provider Data
| NPI Number: | 1003266149 |
| Provider Name: | SANDEEP BANGA M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 207R00000X |
| Specialty: | Internal Medicine |
| License Number: | 125.069252 |
Most Important Dates
| Enumeration Date: | 06/20/2016 |
| Last Updated: | 06/20/2016 |
Provider Practice Location
530 NE GLEN OAK AVE
PEORIA
IL
616370001
Practice Location Phone/Fax
| Phone: | 3096556384 |
| Fax: | 3096557732 |
Provider Mailing Location
530 NE GLEN OAK AVE
PEORIA
IL
616370001
Provider Mailing Phone/Fax
| Phone: | 3096552730 |
| Fax: | 3096553297 |
Suggested EMR
Internist EMR