Colathur K Palani, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Practice address

3412 Harlem Ave
Riverside, IL 60546-2365

Phone

(708) 442-8700

Fax

(708) 442-8142

NPI assigned

Aug 11, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1063423093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 NUTTALL RD",
            "city": "RIVERSIDE",
            "state": "IL",
            "postal_code": "605461856",
            "telephone_number": "708-442-8700",
            "fax_number": "708-442-8142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3412 HARLEM AVE",
            "city": "RIVERSIDE",
            "state": "IL",
            "postal_code": "605462365",
            "telephone_number": "708-442-8700",
            "fax_number": "708-442-8142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALANI",
        "first_name": "COLATHUR",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WAUSAU BENEFITS",
            "identifier": "51142027",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ILLINOIS",
            "identifier": "216-09100",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carla Perrecone Orland, D.D.S.
• Frank Rudolph Orland, DDS
• Gina F. Orland, D.M.D.
• Orthomidwest, PLLC
• Orthopaedic Associates of Riverside, PLLC
• Paul McArthur Pedersen, LSW
• Alexandria Perry, PT, DPT
• Play Well Therapy Services Inc
• Garey Potamianos, D.D.S.
• Premier Internal Medicine Group SC

• Surgery Physician in Riverside, IL
• Providers in Riverside, IL by specialty
• Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.