Appavu, Samuel K

Appavu, Samuel K is an individual health care provider with primary practice located at 2300 N Rockton Ave Ste 304, Rockford IL 61103-3619. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Other Service Providers / Legal Medicine, Allopathic & Osteopathic Physicians / Trauma Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Appavu, Samuel K can be contacted via phone (815) 964-3333.

Contact Information

Primary practice address
2300 N Rockton Ave Ste 304 Rockford IL 61103-3619
Phone: (815) 964-3333
Fax: (815) 964-3134
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 036048085 Illinois
Other Service Providers / Legal Medicine 173000000X 036048085 Illinois
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X 036048085 Illinois
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 036048085 Illinois

Profile Details

NPI number 1346243169
LBN Legal business name Appavu, Samuel K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Mar 2nd, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346243169 NPPES
Illinois Other 204575400 OWCP
Illinois MEDICAID 036048085 1 OWCP
Illinois Other 036048085 OWCP
Illinois Other 194281 OWCP

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