Dr. Chetan Narasanna Gowda
Surgeon Trauma Surgeon Surgical Critical Care
800 E Carpenter St
Springfield
, Illinois 62769-4831
Dr. Chetan Narasanna Gowda
Surgeon Trauma Surgeon Surgical Critical Care
800 E Carpenter St
Springfield
, Illinois 62769-4831
(217) 528-7541
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About
Features
Specialties
- Surgeon
- Surgical Critical Care
- Trauma Surgeon
Languages spoken
- English
Location
First Address
- Dr. Chetan Narasanna Gowda
- 1025 S 6th St
- Springfield, IL
- Zip : 62703-2403
- Phone : (217) 528-7541
Second Address
- Dr. Chetan Narasanna Gowda
- 800 E Carpenter St
- Springfield, IL
- Zip : 62769-4831
- Phone : (217) 528-7541
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208200000X | Surgeon | 2017012235 | MO |
| N | 208600000X | Surgeon | 2017012235 | MO |
| N | 2086S0102X | Surgical Critical Care | 2017012235 | MO |
| Y | 2086S0127X | Trauma Surgeon | 036143879 | IL |
National Provider Identifier
| NPI | 1245402080 |
|---|---|
| Provider Name | Dr. Chetan Narasanna Gowda |
| First Address | Springfield, IL 62703-2403 |
| Second Address | Springfield, IL 62769-4831 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/04/2008 |
| Last Update Date | 22/05/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.