Dr. Vasantha Samala
Pulmonary Disease
700 E Ogden Ave Suite 202
Westmont
, Illinois 60559-5569
Dr. Vasantha Samala
Pulmonary Disease
700 E Ogden Ave Suite 202
Westmont
, Illinois 60559-5569
(630) 789-9798
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About
Features
Specialties
- Pulmonary Disease
Languages spoken
- English
Location
First Address
- Dr. Vasantha Samala
- 700 E Ogden Ave Suite 202
- Westmont, IL
- Zip : 60559-5569
- Fax : (630) 789-9798
- Phone : (630) 789-9785
Second Address
- Dr. Vasantha Samala
- 700 E Ogden Ave Suite 202
- Westmont, IL
- Zip : 60559-5569
- Fax : (630) 789-9798
- Phone : (630) 789-9785
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RP1001X | Pulmonary Disease | 036112098 | IL |
National Provider Identifier
| NPI | 1053430033 |
|---|---|
| Provider Name | Dr. Vasantha Samala |
| First Address | Westmont, IL 60559-5569 |
| Second Address | Westmont, IL 60559-5569 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/03/2007 |
| Last Update Date | 03/06/2009 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| P00694043 | MEDICARE RAILROAD (01) | IL |
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.