Shylendra B Sreenivasappa in Rockford - Internal Medicine

Shylendra B Sreenivasappa - NPI 1972706604

Shylendra B Sreenivasappa is a Internal Medicine in Rockford, Illinois. Shylendra B Sreenivasappa practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Shylendra B Sreenivasappa is 1972706604. The last update date is 2011-02-10.

Shylendra B Sreenivasappa's current location address is 5666 East State Street, Rockford, Illinois. You can contact this provider via phone number 8152262000. The mailing address for Shylendra B Sreenivasappa is 5666 East State Street, Rockford, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Shylendra B Sreenivasappa
Address 5666 East State Street, Rockford, Illinois
Phone Number 8152262000
Fax Number
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1972706604
Provider Enumeration Date 2007-06-08
Last Updated Date 2011-02-10

Provider Mailing Address Detail

Address 5666 East State Street
City Rockford
State Illinois (IL)
Post Code 611082425
Phone Number 8152262000
Fax Number

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 36117669
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
36117669 IL --

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FAQs about Shylendra B Sreenivasappa

What is the unique 10-digit identification code assigned to Shylendra B Sreenivasappa by the Centers for Medicare & Medicaid Services?

The Shylendra B Sreenivasappa has been issued the NPI (National Provider Identifier) 1972706604, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Shylendra B Sreenivasappa is geographically located?

The Shylendra B Sreenivasappa is physically situated at the following location: 5666 East State Street, Rockford, IL, 611082425.

What is the area of specialization for Shylendra B Sreenivasappa, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Shylendra B Sreenivasappa is Internal Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207R00000X.

On what date did the Shylendra B Sreenivasappa receive the assignment of its 1972706604 from the Centers for Medicare & Medicaid Services?

The Shylendra B Sreenivasappa was issued its 1972706604 by the Centers for Medicare & Medicaid Services on 2007-06-08.

As of what date was the information pertaining to Shylendra B Sreenivasappa, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Shylendra B Sreenivasappa, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2011-02-10.

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