Giri, Visvanatha V

Giri, Visvanatha V is an sole proprietor health care provider with primary practice located at 903 129Th Infantry Dr Suite 400, Joliet IL 60435-3171. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Sleep Medicine. Other Service Providers / Specialist is his primary health care specialty. Giri, Visvanatha V can be contacted via phone (815) 725-2653.

Contact Information

Primary practice address
903 129Th Infantry Dr Suite 400 Joliet IL 60435-3171
Phone: (815) 725-2653
Fax: (815) 744-3232
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 036-096329 Illinois
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X 036-096329 Illinois

Profile Details

NPI number 1609868553
LBN Legal business name Giri, Visvanatha V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 17th, 2005
Last updated Sep 16th, 2008 - about 18 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 1609868553 NPPES
Illinois Other P00062390 PALMETTO RR MEDICARE
Illinois MEDICAID 036096329 PALMETTO RR MEDICARE

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