DR. KOLALA VASUDEVAMURTHY M.D. NPI 1790759033

NPI Information

  • NPI: 1790759033
  • Provider Name: DR. KOLALA VASUDEVAMURTHY, M.D.
  • Classification: Internal Medicine - 207RC0000X
  • Specialization: Cardiovascular Disease
  • Entity Type: Individual
  • Address: 1900 E MAIN ST
    VA ILLIANA HCS
    DANVILLE, IL
    ZIP 61832
  • Phone: (217) 554-5495

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NPI Details

DR. Kolala Vasudevamurthy, M.D. is a cardiovascular disease internal medicine in Danville, IL. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. DR. Kolala Vasudevamurthy, M.D. NPI is 1790759033. 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:

1900 E MAIN ST
VA ILLIANA HCS
DANVILLE, IL
ZIP 61832-100
Phone: (217) 554-5495

The enumeration date for this NPI number is 2/14/2006 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
1207RC0000XInternal MedicineCardiovascular Disease01026022AINDIANANo
2207RC0000XInternal MedicineCardiovascular Disease036048860ILLINOISYes

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
1C24787MEDICARE UPININDIANA
2677700LMEDICARE ID-TYPE UNSPECIFIEDINDIANA
3200191580MEDICAIDINDIANA

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: 11/21/2025

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