Dukkipati, Madhu

Dukkipati, Madhu is an individual health care provider with primary practice located at 619 East Mason Suite 4P57, Springfield IL 62701-1344. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Dukkipati, Madhu can be contacted via phone (217) 788-0706.

Contact Information

Primary practice address
619 East Mason Suite 4P57 Springfield IL 62701-1344
Phone: (217) 788-0706
Fax: (217) 525-2535
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 036-109161 Illinois
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 036-109161 Illinois

Profile Details

NPI number 1063436715
LBN Legal business name Dukkipati, Madhu
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Dec 22nd, 2021 - about 3 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 1063436715 NPPES
Illinois MEDICAID 036109161
Illinois Other P00477441
Illinois Other 086380

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