V Susarla Mdsc is a Family Medicine in Elgin, Illinois. V Susarla Mdsc practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for V Susarla Mdsc is 1952583783. The last update date is 2007-12-21.
V Susarla Mdsc's current location address is 860 Summit St, Elgin, Illinois. You can contact this provider via phone number 8477410026. The mailing address for V Susarla Mdsc is 860 Summit St, Elgin, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | V Susarla Mdsc |
|---|---|
| Address | 860 Summit St, Elgin, Illinois |
| Phone Number | 8477410026 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHYSICIAN |
|---|---|
| Authorized Official Name | Susarla Viswanatham |
| Credentials | MD |
| Telephone Number | 8477410026 |
NPI Number Detail
| NPI Number | 1952583783 |
|---|---|
| Provider Enumeration Date | 2007-12-04 |
| Last Updated Date | 2007-12-21 |
Provider Mailing Address Detail
| Address | 860 Summit St |
|---|---|
| City | Elgin |
| State | Illinois (IL) |
| Post Code | 601205145 |
| Phone Number | 8477410026 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
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Definition: 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 i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| DE4313 | IL | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to V Susarla Mdsc by the Centers for Medicare & Medicaid Services?
The V Susarla Mdsc has been issued the NPI (National Provider Identifier) 1952583783, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of V Susarla Mdsc?
The V Susarla Mdsc is situated at 860 Summit St, in the city of Elgin, state of IL, with the zip code 601205145.
What is V Susarla Mdsc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The V Susarla Mdsc's specialized field of practice is Family Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1952583783 to V Susarla Mdsc?
The Centers for Medicare & Medicaid Services assigned the 1952583783 to V Susarla Mdsc on 2007-12-04.
When was the V Susarla Mdsc's information last updated?
The V Susarla Mdsc's information was last updated on 2007-12-21.
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