Pulluru, Soujanya
Pulluru, Soujanya is an individual health care provider with primary practice located at 2940 Rollingridge Rd Ste 300, Naperville IL 60564-4216. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Pulluru, Soujanya can be contacted via phone (630) 646-5800.Contact Information
Primary practice address
2940 Rollingridge Rd Ste 300
Naperville IL 60564-4216
Phone: (630) 646-5800
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036110257 | Illinois |
Profile Details
| NPI number | 1912974940 |
|---|---|
| LBN Legal business name | Pulluru, Soujanya |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 8th, 2006 |
| Last updated | Jan 27th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912974940 | NPPES |
| Illinois | MEDICAID | 036110257 |
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