Ketineni, Sujitha Sree
Ketineni, Sujitha Sree is an individual health care provider with primary practice located at 315 W Carpenter St # B , Springfield IL 62702-4901. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is her primary health care specialty. Ketineni, Sujitha Sree can be contacted via phone (217) 545-8000.Contact Information
Primary practice address
315 W Carpenter St # B
Springfield IL 62702-4901
Phone: (217) 545-8000
Fax: (217) 545-1141
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 125071938 | Illinois |
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 036.156940 | Illinois |
Profile Details
| NPI number | 1285120725 |
|---|---|
| LBN Legal business name | Ketineni, Sujitha Sree |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 9th, 2018 |
| Last updated | Jun 29th, 2021 - 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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