Viswanatham Susarla in Elgin - Geriatric Medicine
Viswanatham Susarla - NPI 1922014315
Viswanatham Susarla is a Geriatric Medicine in Elgin, Illinois. Viswanatham Susarla practices all healthcare services and medical treatments related to Geriatric Medicine. The NPI Number for Viswanatham Susarla is 1922014315. The last update date is 2022-01-04.
Viswanatham Susarla's current location address is 860 Summit St, Elgin, Illinois. You can contact this provider via phone number 8477410026 and fax number 8477410027. The mailing address for Viswanatham Susarla is 860 Summit St, Elgin, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Viswanatham Susarla |
|---|---|
| Address | 860 Summit St, Elgin, Illinois |
| Phone Number | 8477410026 |
| Fax Number | 8477410027 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1922014315 |
|---|---|
| Provider Enumeration Date | 2006-07-31 |
| Last Updated Date | 2022-01-04 |
Provider Mailing Address Detail
| Address | 860 Summit St |
|---|---|
| City | Elgin |
| State | Illinois (IL) |
| Post Code | 601205145 |
| Phone Number | 8477410026 |
| Fax Number | 8477410027 |
Provider's Primary Taxonomy Detail
| Speciality | Geriatric Medicine |
|---|---|
| Taxonomy | 207Rg0300X |
| Licence No | 36047106 |
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Definition: An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the of |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4500476 | IL | BLUE CROSS BLUE SHIELD | |
| 36047106 | IL | -- | |
| 112910380 | IL | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the Viswanatham Susarla's unique identification number?
The Viswanatham Susarla has been assigned the NPI (National Provider Identifier) Number 1922014315 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Viswanatham Susarla?
The Viswanatham Susarla is physically situated at 860 Summit St, in the city of Elgin, state of IL, with the postal code 601205145.
What is Viswanatham Susarla's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Viswanatham Susarla is Geriatric Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Rg0300X.
On what date did the Viswanatham Susarla receive the assignment of its 1922014315 from the Centers for Medicare & Medicaid Services?
The Viswanatham Susarla was issued its 1922014315 by the Centers for Medicare & Medicaid Services on 2006-07-31.
When was the information pertaining to Viswanatham Susarla most recently updated or revised?
The details related to Viswanatham Susarla, including its address, specialty, and other relevant information, were last updated or revised on 2022-01-04.
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