Govindaiah, Renu C

Govindaiah, Renu C is an individual health care provider with primary practice located at 1025 S 6Th St , Springfield IL 62703-2403. She recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy, which is considered as her primary health care specialty. Govindaiah, Renu C can be contacted via phone (217) 528-7541.

Contact Information

Primary practice address
1025 S 6Th St Springfield IL 62703-2403
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy 207KA0200X 036116696 Illinois

Profile Details

NPI number 1477553931
LBN Legal business name Govindaiah, Renu C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2005
Last updated May 22nd, 2020 - about 4 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 1477553931 NPPES
Illinois Other P00339144 RR MEDICARE
Illinois MEDICAID 036116696 RR MEDICARE

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