Renduchintala, Murty Sastry

Renduchintala, Murty Sastry is an individual health care provider with primary practice located at 701 N 1St St , Springfield IL 62781-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Renduchintala, Murty Sastry can be contacted via phone (217) 528-7541.

Contact Information

Primary practice address
701 N 1St St Springfield IL 62781-0001
Phone: (217) 528-7541
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036-114646 Illinois
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 036114646 Illinois

Profile Details

NPI number 1083661664
LBN Legal business name Renduchintala, Murty Sastry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 28th, 2006
Last updated May 20th, 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 1083661664 NPPES
Illinois MEDICAID 036114646

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