DR. SHYAM PUPPALA MD NPI 1043390099

NPI Information

DR. Shyam Puppala, MD is a neurology psychiatry neurology in Chicago, IL. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. DR. Shyam Puppala, MD NPI is 1043390099. 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:

4755 N KENMORE AVE
CHICAGO, IL
ZIP 60640-015
Phone: (773) 989-9868
Fax: (773) 989-9824

The NPI 1043390099 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 10/16/2006 and was last updated on 5/27/2008.

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:

Other Identifiers

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

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