Royyuru, Sasikala
Royyuru, Sasikala is an individual health care provider with primary practice located at 3024 E Empire St , Bloomington IL 61704-5402. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Royyuru, Sasikala can be contacted via phone (309) 556-7700.Contact Information
Primary practice address
3024 E Empire St
Bloomington IL 61704-5402
Phone: (309) 556-7700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036126335 | Illinois |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 57009749 | Ohio |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 38092 | Iowa |
Profile Details
| NPI number | 1982800876 |
|---|---|
| LBN Legal business name | Royyuru, Sasikala |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 26th, 2007 |
| Last updated | Jun 28th, 2013 - about 11 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 | 1982800876 | NPPES |
| Illinois | Other | 3932056 | BCBS |
| Illinois | Other | 143821 | BCBS |
| Illinois | MEDICAID | 1982800876 | BCBS |
| Illinois | MEDICAID | 036126335 | BCBS |
| Illinois | Other | 721089 | BCBS |
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