Illiana Internal Medicine, L.L.C.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

0104962A Issued in IN

Legal business name

ILLIANA INTERNAL MEDICINE, L.L.C.

Practice address

1332 N 7TH St
Terre Haute, IN 47807-1004

Phone

(812) 478-8888

Fax

(812) 478-1114

NPI assigned

Jan 26, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Vuppala V Reddy, M.D.

Title

Senior Partner

Phone

(812) 478-8888

Specialties & licenses 1

Addresses

Other identifiers 4

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dipen V Shah, M.D.

  • Internal Medicine Physician
  • Terre Haute, IN
  • NPI 1093804874
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189728000000",
    "number": "1003962549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1332 N 7TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478071004",
            "telephone_number": "812-478-8888",
            "fax_number": "812-478-1114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1332 N 7TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478071004",
            "telephone_number": "812-478-8888",
            "fax_number": "812-478-1114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLIANA INTERNAL MEDICINE, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2007-09-14",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "VUPPALA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "SENIOR PARTNER",
        "authorized_official_telephone_number": "812-478-8888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "IN",
            "license": "0104962A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI RAVI KODURU,MD",
            "identifier": "1265521058",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI VUPPALA V REDDY MD",
            "identifier": "1174612931",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI DIPEN SHAH MD",
            "identifier": "1093804874",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI KOSHY OOMMEN MD",
            "identifier": "1497844278",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Terre Haute, IN
• Providers in Terre Haute, IN by specialty
• Primary Care Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.