Sujatha Kailas is a Gastroenterology in Chicago, Illinois. Sujatha Kailas practices all healthcare services and medical treatments related to Gastroenterology. The NPI Number for Sujatha Kailas is 1861473936. The last update date is 2018-03-22.
Sujatha Kailas's current location address is 5744 N Broadway St, Chicago, Illinois. You can contact this provider via phone number 3123350180 and fax number 7732754679. The mailing address for Sujatha Kailas is 5744 N Broadway St, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sujatha Kailas |
|---|---|
| Address | 5744 N Broadway St, Chicago, Illinois |
| Phone Number | 3123350180 |
| Fax Number | 7732754679 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1861473936 |
|---|---|
| Provider Enumeration Date | 2005-11-07 |
| Last Updated Date | 2018-03-22 |
Provider Mailing Address Detail
| Address | 5744 N Broadway St |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606604302 |
| Phone Number | 3123350180 |
| Fax Number | 7732754679 |
Provider's Primary Taxonomy Detail
| Speciality | Gastroenterology |
|---|---|
| Taxonomy | 207Rg0100X |
| Licence No | 30129 |
|
Definition: An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and perf |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 31576500 | WI | -- | |
| 110114149 | WI | RAILROAD MEDICARE | |
| F400429459 | IL | MEDICARE |
Post Comment/ Review Below
What is the unique identifier code issued to Sujatha Kailas by the Centers for Medicare & Medicaid Services (CMS)?
The Sujatha Kailas has been assigned the NPI (National Provider Identifier) 1861473936. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Sujatha Kailas?
The Sujatha Kailas is situated at 5744 N Broadway St, in the city of Chicago, state of IL, with the zip code 606604302.
What is Sujatha Kailas's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Sujatha Kailas's specialized field of practice is Gastroenterology, and the corresponding taxonomy code that categorizes this area of specialization is 207Rg0100X.
On what date did the Centers for Medicare & Medicaid Services issue the 1861473936 to Sujatha Kailas?
The Sujatha Kailas received its 1861473936 assignment from the Centers for Medicare & Medicaid Services on 2005-11-07.
When was the information regarding Sujatha Kailas most recently updated?
The details pertaining to the Sujatha Kailas, including its address, specialty, and other relevant information, were last refreshed on 2018-03-22.
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