Kalyana Poruri is a Body Imaging in Geneva, Illinois. Kalyana Poruri practices all healthcare services and medical treatments related to Body Imaging. The NPI Number for Kalyana Poruri is 1548365026. The last update date is 2012-02-28.
Kalyana Poruri's current location address is 825 W State St, Geneva, Illinois. You can contact this provider via phone number 6302084412 and fax number 6302080201. The mailing address for Kalyana Poruri is 825 W State St, Geneva, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kalyana Poruri |
|---|---|
| Address | 825 W State St, Geneva, Illinois |
| Phone Number | 6302084412 |
| Fax Number | 6302080201 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1548365026 |
|---|---|
| Provider Enumeration Date | 2006-09-13 |
| Last Updated Date | 2012-02-28 |
Provider Mailing Address Detail
| Address | 825 W State St |
|---|---|
| City | Geneva |
| State | Illinois (IL) |
| Post Code | 601342080 |
| Phone Number | 6302084412 |
| Fax Number | 6302080201 |
Provider's Primary Taxonomy Detail
| Speciality | Body Imaging |
|---|---|
| Taxonomy | 2085B0100X |
| Licence No | 36104591 |
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Definition: A Radiology doctor of Osteopathy that specializes in Body Imaging. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4515240 | IL | BLUE CROSS PROVIDER ID |
Post Comment/ Review Below
What is the unique identification code assigned to Kalyana Poruri by the Centers for Medicare & Medicaid Services?
The Kalyana Poruri has been issued the NPI (National Provider Identifier) 1548365026. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Kalyana Poruri's physical address?
The Kalyana Poruri is physically located at 825 W State St, in the city of Geneva, IL, with the postal code 601342080.
What is Kalyana Poruri'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 Kalyana Poruri is Body Imaging, and the taxonomy classification code that categorizes this area of expertise is 2085B0100X.
On what date did Kalyana Poruri receive its 1548365026 assignment from the Centers for Medicare & Medicaid Services?
The Kalyana Poruri was assigned its 1548365026 on 2006-09-13, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Kalyana Poruri most recently updated or refreshed?
The details pertaining to the Kalyana Poruri, including its address, specialty, and other relevant information, were last updated or refreshed on 2012-02-28.