Madhu Dukkipati
Interventional Cardiology Internist - Cardiovascular Disease
619 East Mason Suite 4p57
Springfield
, Illinois 62701-1344
Madhu Dukkipati
Interventional Cardiology Internist - Cardiovascular Disease
619 East Mason Suite 4p57
Springfield
, Illinois 62701-1344
(217) 525-2535
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About
Features
Specialties
- Internist - Cardiovascular Disease
- Interventional Cardiology
Languages spoken
- English
Location
First Address
- Madhu Dukkipati
- 619 E Mason St Ste 4p57
- Springfield, IL
- Zip : 62701-1034
- Fax : (217) 525-2535
- Phone : (217) 788-0706
Second Address
- Madhu Dukkipati
- 619 East Mason Suite 4p57
- Springfield, IL
- Zip : 62701-1344
- Fax : (217) 525-2535
- Phone : (217) 788-0706
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FAQs
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What type of doctor is Madhu Dukkipati
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Is Madhu Dukkipati a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207RC0000X | Internist - Cardiovascular Disease | 036-109161 | IL |
| Y | 207RI0011X | Interventional Cardiology | 036-109161 | IL |
National Provider Identifier
| NPI | 1063436715 |
|---|---|
| Provider Name | Madhu Dukkipati |
| First Address | Springfield, IL 62701-1034 |
| Second Address | Springfield, IL 62701-1344 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/07/2006 |
| Last Update Date | 22/12/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 036109161 | (05) | IL |
| 086380 | HEALTH ALLIANCE (01) | IL |
| G96452 | (02) | |
| P00477441 | 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.