Kiran Polavarapu MD SC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

036126768 Issued in IL

Legal business name

KIRAN POLAVARAPU MD SC

Practice address

2348 N Lister Ave
305
Chicago, IL 60614-2994

Phone

(773) 710-6128

NPI assigned

May 12, 2011

Organization subpart

No

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

Authorized official

Name

Kiran Polavarapu, M.D.

Title

Physician

Phone

(773) 710-6128

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1305158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305158400000",
    "number": "1326330028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2348 N LISTER AVE",
            "address_2": "305",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606142994",
            "telephone_number": "773-710-6128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2348 N LISTER AVE",
            "address_2": "305",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606142994",
            "telephone_number": "773-710-6128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRAN POLAVARAPU MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-12",
        "last_updated": "2011-05-12",
        "status": "A",
        "authorized_official_last_name": "POLAVARAPU",
        "authorized_official_first_name": "KIRAN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "773-710-6128",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "IL",
            "license": "036126768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Anne Kiracofe, M.D.
• David Kiragu, M.D.
• Jessica Kiragu
• Amy Kiraly, M.D.
• Kiran P Amin MDSC
• Gina Strumolo Kirberg
• Kirby Johnson
• Kirby Johnson
• Kirby Rehabilitation, Inc
• Alana Elizabeth Kirby, M.D., PH.D.

• Plastic Surgery Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Plastic Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2011; 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.