Shalini Mulkanoor, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036.126824 Issued in IL

Practice address

1100 E. Lincolnshire Blvd.
Suite 200
Springfield, IL 62703

Phone

(217) 789-1403

NPI assigned

Mar 2, 2011

Last updated

Jun 13, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1299024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307923200000",
    "number": "1447558390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 E LINCOLNSHIRE BLVD",
            "address_2": "SUITE 200",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627035949",
            "telephone_number": "217-789-1403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 E. LINCOLNSHIRE BLVD.",
            "address_2": "SUITE 200",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "62703",
            "telephone_number": "217-789-1403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULKANOOR",
        "first_name": "SHALINI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-02",
        "last_updated": "2011-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036.126824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sajjad Mueed, M.D.
• Casey Muehle, MD
• Julie A. Mueller, R.N.
• Basanti Mukerji, MD
• Vaskar Mukerji, M.D.
• Praveen K Mullangi, M.D.
• Eva C Muller, PHD
• Christopher Thomas Mullett, D.O.
• Richard Mulligan
• James C Mullin, M.D.

• Family Medicine Physician in Springfield, IL
• Providers in Springfield, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.