AMKY MSO-1 PLLC NPI 1821817503

NPI Information

  • NPI: 1821817503
  • Provider Name: AMKY MSO-1 PLLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 1325 W WHITTAKER ST STE D
    SALEM, IL
    ZIP 62881
  • Phone: (678) 982-3590

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NPI Details

AMKY MSO-1 PLLC is a family medicine in Salem, IL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. AMKY MSO-1 PLLC NPI is 1821817503. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1325 W WHITTAKER ST STE D
SALEM, IL
ZIP 62881-034
Phone: (678) 982-3590

The provider's authorized official is Yugandhar Kandimalla .
The authorized official title is President and has the following contact phone number (678) 982-3590.

The enumeration date for this NPI number is 10/9/2024 and was last updated on 11/20/2024.

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
1207Q00000XFamily MedicineYes
2207R00000XInternal MedicineNo
3225100000XPhysical TherapistNo
4225X00000XOccupational TherapistNo
5235Z00000XSpeech-Language PathologistNo

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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