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SRINIVAS JUJJAVARAPU MD LLC NPI 1609297936


NPI Information

NPI: 1609297936
Provider Name: SRINIVAS JUJJAVARAPU MD LLC

Doing Business As: CENTER FOR BLOOD DISORDERS AND CANCER

Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

Address:
4505 N ROCKWOOD DR
PEORIA, IL
ZIP 61615
Phone: (630) 799-9399
Get Directions

SRINIVAS JUJJAVARAPU MD LLC is a hematology and oncology internal medicine in Peoria, IL. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. SRINIVAS JUJJAVARAPU MD LLC NPI is 1609297936. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Center For Blood Disorders And Cancer.

The provider's business location address is:

4505 N ROCKWOOD DR
PEORIA, IL
ZIP 61615-803
Phone: (630) 799-9399

The provider's authorized official is Srinivas Jujjavarapu .
The authorized official title is Physician and has the following contact phone number (972) 808-7469.

The enumeration date for this NPI number is 1/6/2014 and was last updated on 1/6/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RH0003XInternal MedicineHematology & Oncology036095582ILLINOISYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1036095582OTHERILLINOISLICENSE

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

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