Venkata C Jampala in Crystal Lake - Psychiatry
Venkata C Jampala - NPI 1235138579
Venkata C Jampala is a Psychiatry in Crystal Lake, Illinois. Venkata C Jampala practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Venkata C Jampala is 1235138579. The last update date is 2012-07-05.
Venkata C Jampala's current location address is 500 Coventry Ln, Crystal Lake, Illinois. You can contact this provider via phone number 8154557100 and fax number 8154553951. The mailing address for Venkata C Jampala is 500 Coventry Ln, Crystal Lake, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Venkata C Jampala |
|---|---|
| Address | 500 Coventry Ln, Crystal Lake, Illinois |
| Phone Number | 8154557100 |
| Fax Number | 8154553951 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1235138579 |
|---|---|
| Provider Enumeration Date | 2005-07-19 |
| Last Updated Date | 2012-07-05 |
Provider Mailing Address Detail
| Address | 500 Coventry Ln |
|---|---|
| City | Crystal Lake |
| State | Illinois (IL) |
| Post Code | 600147579 |
| Phone Number | 8154557100 |
| Fax Number | 8154553951 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | 36063756 |
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Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36063756 | IL | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Venkata C Jampala by the Centers for Medicare & Medicaid Services?
The Venkata C Jampala has been issued the NPI (National Provider Identifier) 1235138579 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Venkata C Jampala's physical address?
The Venkata C Jampala is physically located at 500 Coventry Ln, in the city of Crystal Lake, IL, with the postal code 600147579.
What is Venkata C Jampala's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Venkata C Jampala is Psychiatry, and the taxonomy code that classifies this field of practice is 2084P0800X.
On what date did the Venkata C Jampala receive the assignment of its 1235138579 from the Centers for Medicare & Medicaid Services?
The Venkata C Jampala was issued its 1235138579 by the Centers for Medicare & Medicaid Services on 2005-07-19.
When was the information pertaining to Venkata C Jampala most recently updated or revised?
The details related to Venkata C Jampala, including its address, specialty, and other relevant information, were last updated or revised on 2012-07-05.
NPI Number: 1528061710
Address: 19 Nh Route 104, Meredith, NH