Yaganti, Srinivasarao C
Yaganti, Srinivasarao C is an individual health care provider with primary practice located at 4500 Memorial Dr , Belleville IL 62226-5360. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Yaganti, Srinivasarao C can be contacted via phone (618) 257-6220.Contact Information
Primary practice address
4500 Memorial Dr
Belleville IL 62226-5360
Phone: (618) 257-6220
Fax: (618) 257-6679
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036-094107 | Illinois |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 036-094107 | Illinois |
Profile Details
| NPI number | 1245252972 |
|---|---|
| LBN Legal business name | Yaganti, Srinivasarao C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 24th, 2006 |
| Last updated | Mar 31st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245252972 | NPPES |
| Illinois | MEDICAID | 036094107 | |
| Illinois | Other | 110132770 |
Popular Providers
-
Pardo, Leopoldo S.
1667 Golf Course Dr , Belleville IL 62220-4824 -
Drummond, Altressa D
4500 Memorial Dr , Belleville IL 62226 -
Brown, Michael Clay
4600 Memorial Dr Ste W1 , Belleville IL 62226-5359 -
Lopez, Manuel Emilio
4500 Memorial Dr , Belleville IL 62226 -
Altwal, Shadi Adel
4500 Memorial Dr , Belleville IL 62226 -
Usman, Ahsan
4500 Memorial Dr , Belleville IL 62226-5360 -
Nyquist, David J
4500 Memorial Dr , Belleville IL 62226 -
Nash, Michael William
4315 Memorial Dr , Belleville IL 62226-5342