DR. SHANMUGHA VIGNESHWAR PADMANABHAN MBBS NPI 1215581517

NPI Information

NPI: 1215581517
Provider Name: DR. SHANMUGHA VIGNESHWAR PADMANABHAN, MBBS
Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Individual
Address:
355 RIDGE AVE
MEDICAL EDUCATION
EVANSTON, IL
ZIP 60202
Phone: (847) 316-4000
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DR. Shanmugha Vigneshwar Padmanabhan, MBBS is a student in an organized health care education training program in Evanston, IL. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. DR. Shanmugha Vigneshwar Padmanabhan, MBBS NPI is 1215581517. 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:

355 RIDGE AVE
MEDICAL EDUCATION
EVANSTON, IL
ZIP 60202-432
Phone: (847) 316-4000

The enumeration date for this NPI number is 7/25/2019 and was last updated on 7/26/2019.

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	License Number	License State	Primary
1	207R00000X	Internal Medicine	125074740	ILLINOIS	No
2	390200000X	Student in an Organized Health Care Education/Training Program	125074740	ILLINOIS	Yes
3	390200000X	Student in an Organized Health Care Education/Training Program			No

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: 4/28/2024

NPI Synchronization or Removal

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