DR. VENKATA SUBBA RAO UPPULURI M.D. NPI 1730276742

NPI Information

NPI: 1730276742
Provider Name: DR. VENKATA SUBBA RAO UPPULURI, M.D.
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
17901 GOVERNORS HWY
SUITE 202
HOMEWOOD, IL
ZIP 60430
Phone: (708) 957-0220
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DR. Venkata Subba Rao Uppuluri, M.D. is a specialist in Homewood, IL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Venkata Subba Rao Uppuluri, M.D. NPI is 1730276742. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

17901 GOVERNORS HWY
SUITE 202
HOMEWOOD, IL
ZIP 60430-144
Phone: (708) 957-0220
Fax: (708) 957-4519

The enumeration date for this NPI number is 10/10/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist			ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	D14268	MEDICARE UPIN	ILLINOIS
2	70390	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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