Gavani & Kanuri MD SC

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

036051637 Issued in IL

Legal business name

GAVANI & KANURI MD SC

Practice address

4400 W. 95TH Street
Suite 406
Oak Lawn, IL 60453

Phone

(708) 636-9611

Fax

(708) 636-6577

NPI assigned

Dec 2, 2010

Organization subpart

No

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

Authorized official

Name

Uma Devi Gavani, M.D.NPI 1710961214

Title

Owner

Phone

(708) 636-9611

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

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

• Uma Devi Gavani, MD

  • Allergy & Immunology Physician
  • Palos Heights, IL
  • NPI 1710961214
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1291248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294704000000",
    "number": "1538461108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 W. 95TH STREET",
            "address_2": "SUITE 406",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "60453",
            "telephone_number": "708-636-9611",
            "fax_number": "708-636-6577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 W. 95TH STREET",
            "address_2": "SUITE 406",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "60453",
            "telephone_number": "708-636-9611",
            "fax_number": "708-636-6577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAVANI & KANURI MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-02",
        "last_updated": "2011-01-11",
        "status": "A",
        "authorized_official_last_name": "GAVANI",
        "authorized_official_first_name": "UMA",
        "authorized_official_middle_name": "DEVI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-636-9611",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": "IL",
            "license": "036051637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Gary, DO
• Katelyn Garza, DO
• Stephanie Garza, OD
• Catherine Gas, FNP-BC
• Ann Gasior, M.S. CCC-SLP
• Julie Gavin, OTR/L
• Elizabeth Gawne
• Angela Gaytan
• Erika Gearhart
• Catherine Shea Geary

• Allergy & Immunology Physician in Oak Lawn, IL
• Providers in Oak Lawn, IL by specialty
• Allergy & Immunology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.