Gundlapalli, Sushama

Gundlapalli, Sushama is an individual health care provider with primary practice located at 1243 Rickert Dr , Naperville IL 60540-0954. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as her primary health care specialty. Gundlapalli, Sushama can be contacted via phone (630) 527-6450.

Contact Information

Primary practice address
1243 Rickert Dr Naperville IL 60540-0954
Fax: (630) 527-6456
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 036-106014 Illinois

Profile Details

NPI number 1568401529
LBN Legal business name Gundlapalli, Sushama
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated Sep 23rd, 2011 - about 14 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 1568401529 NPPES
Illinois MEDICAID 036106014
Illinois Other P00358682

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