Thappa, Vivek

Thappa, Vivek is an sole proprietor health care provider with primary practice located at 1401 E State St , Rockford IL 61104. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Sleep Medicine is his primary health care specialty. Thappa, Vivek can be contacted via phone (779) 696-6102.

Contact Information

Primary practice address
1401 E State St Rockford IL 61104
Phone: (779) 696-6102
Fax: (779) 696-6026
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X 036081657 Illinois
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 036081657 Illinois
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 036081657 Illinois

Profile Details

NPI number 1295743383
LBN Legal business name Thappa, Vivek
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 4th, 2006
Last updated Feb 19th, 2021 - about 3 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 1295743383 NPPES
Illinois MEDICAID 036081657
Illinois Other 101-04711

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