Sreenivasappa, Shylendra B
Sreenivasappa, Shylendra B is an individual health care provider with primary practice located at 5666 East State Street , Rockford IL 61108-2425. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Medical Oncology, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Medical Oncology is his primary health care specialty. Sreenivasappa, Shylendra B can be contacted via phone (815) 226-2000.Contact Information
Primary practice address
5666 East State Street
Rockford IL 61108-2425
Phone: (815) 226-2000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 36117669 | Illinois |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036-117669 | Illinois |
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | 036117669 | Illinois |
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 036-117669 | Illinois |
Profile Details
| NPI number | 1972706604 |
|---|---|
| LBN Legal business name | Sreenivasappa, Shylendra B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 8th, 2007 |
| Last updated | Jan 18th, 2024 - about 11 months 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 | 1972706604 | NPPES |
| Illinois | MEDICAID | 036117669 |
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