Majjiga, Venkata Sasidhar

Majjiga, Venkata Sasidhar is an individual health care provider with primary practice located at 301 N 8Th Street, Siu School Of Medicine, Pediatrics Room 3A169, Springfield IL 62794. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as his primary health care specialty. Majjiga, Venkata Sasidhar can be contacted via phone (217) 545-7732.

Contact Information

Primary practice address
301 N 8Th Street, Siu School Of Medicine, Pediatrics Room 3A169 Springfield IL 62794
Phone: (217) 545-7732
Fax: (217) 757-6488
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 036.127301 Illinois

Profile Details

NPI number 1255623997
LBN Legal business name Majjiga, Venkata Sasidhar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2011
Last updated May 25th, 2011 - about 13 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 1255623997 NPPES
Illinois MEDICAID 036127301

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