VAKYA REDDY REVANUR MBBS
NPI 1932957008
Student in an Organized Health Care Education/Training Program in Peoria, IL

Active since May 13, 2024
530 NE GLEN OAK AVE, OSF ST. FRANCIS MEDICAL CENTER, IN, ATTN: MARTI SOKOLOWSKI, PEORIA, IL 61637(309) 624-9351(309) 655-7732 Get Directions Write a Review

NPPES record last updated: July 22, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 22, 2024, May 13, 2024 (2 updates tracked since 2024).

About Vakya Reddy Revanur Mbbs NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VAKYA REDDY REVANUR MBBS (NPI 1932957008) is an individual student in an organized health care education/training program in Peoria, Illinois and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1932957008
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameVAKYA REDDY REVANURCredential: MBBS
Location Address530 NE GLEN OAK AVE, OSF ST. FRANCIS MEDICAL CENTER, IN, ATTN: MARTI SOKOLOWSKIPeoria, IL 61637
Mailing Address530 Ne Glen Oak Ave, Osf St. Francis Medical Center, In, Attn: Marti SokolowskiPeoria, IL 61637 · (309) 624-9351 · Fax (309) 655-7732
Fax(309) 655-7732
Sole ProprietorNo
Enumeration DateMay 13, 2024
Last NPPES UpdateJuly 22, 20242 updates tracked since enumeration
NPI 1932957008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
530 NE GLEN OAK AVE, OSF ST. FRANCIS MEDICAL CENTER, IN, Peoria, IL 61637

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vakya Revanur's NPI number?

The NPI number for Vakya Revanur is 1932957008. It was assigned to this individual provider in the NPPES registry on May 13, 2024.

Where is Vakya Revanur located?

Vakya Revanur practices at 530 NE Glen Oak Ave, Osf St. Francis Medical Center, In Attn: Marti Sokolowski, Peoria, IL 61637. The listed phone number is (309) 624-9351.

What is Vakya Revanur's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Vakya Revanur was last updated on July 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.