Kanchana Esariya Umpai,MD,SC.

Primary specialty

SpecialistTaxonomy code 174400000X

License

036060991 Issued in IL

Legal business name

KANCHANA ESARIYA UMPAI,MD,SC.

Practice address

1026 Essington Rd
Joliet, IL 60435-2841

Phone

(815) 744-2556

Fax

(815) 744-3554

NPI assigned

Apr 22, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Kanchana Esariya Umpai, M.D.NPI 1609980549

Title

President

Phone

(815) 744-2556

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Kanchana Esariya-Umpai, M.D.

  • Specialist
  • Joliet, IL
  • NPI 1609980549
  NPD (past) Authorized official

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335830400000",
    "number": "1083888093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1026 ESSINGTON RD",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604352841",
            "telephone_number": "815-744-2556",
            "fax_number": "815-744-3554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1026 ESSINGTON RD",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604352841",
            "telephone_number": "815-744-2556",
            "fax_number": "815-744-3554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANCHANA ESARIYA UMPAI,MD,SC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-22",
        "last_updated": "2012-05-01",
        "status": "A",
        "authorized_official_last_name": "ESARIYA UMPAI",
        "authorized_official_first_name": "KANCHANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-744-2556",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": "036060991",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036060991",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Farai Kambasha, DDS
• Kathleen Margaret Kammer, M.H.S. CCC-SLP/L
• Leah Grace Kamp, MOT, OTR/L
• Miriam Kanan, FNP-BC, APN
• Kanchana Esairya-Umpai M D S C
• Kane Kane Kane DDS Assoc
• Thomas Raymond Kane, DDS
• Jennifer Kang, OTR/L
• Kantar Medical Consultants SC
• Mouhannad Kantar, M.D.

• Specialist in Joliet, IL
• Providers in Joliet, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2012; 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.