Tatineni, Suveer Babu
Tatineni, Suveer Babu is an individual health care provider with primary practice located at 1325 N Highland Ave Provena Mercy Medical Center/Radiology Department, Aurora IL 60506-1449. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, which is considered as his primary health care specialty. Tatineni, Suveer Babu can be contacted via phone (630) 859-2222.Contact Information
Primary practice address
1325 N Highland Ave Provena Mercy Medical Center/Radiology Department
Aurora IL 60506-1449
Phone: (630) 859-2222
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 036109305 | Illinois |
Profile Details
NPI number | 1275579401 |
---|---|
LBN Legal business name | Tatineni, Suveer Babu |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 22nd, 2006 |
Last updated | May 20th, 2008 - about 16 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 | 1275579401 | NPPES |
Illinois | Other | 0451514334 | BLUESHIELD PROVIDER# |
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