Shyam M Puppala MDSC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

036073281 Issued in IL

Legal business name

SHYAM M PUPPALA MDSC

Practice address

4755 N Kenmore Ave
Chicago, IL 60640-5015

Phone

(773) 989-9868

Fax

(773) 989-9824

NPI assigned

Jan 30, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Shyam M Puppala, M.D.NPI 1043390099

Title

Psychiatrist

Phone

(773) 989-9868

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Shyam Puppala, MD

  • Neurology Physician
  • Chicago, IL
  • NPI 1043390099
  NPD (past) Authorized official

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

{
    "created_epoch": "1233273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233273600000",
    "number": "1588802490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 RED HILL LN",
            "city": "SOUTH BARRINGTON",
            "state": "IL",
            "postal_code": "600106188",
            "telephone_number": "773-989-9868",
            "fax_number": "773-989-9824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4755 N KENMORE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606405015",
            "telephone_number": "773-989-9868",
            "fax_number": "773-989-9824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHYAM M PUPPALA MDSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-30",
        "last_updated": "2009-01-30",
        "status": "A",
        "authorized_official_last_name": "PUPPALA",
        "authorized_official_first_name": "SHYAM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "773-989-9868",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IL",
            "license": "036073281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yuri Shvartsman, M.D.
• Vitaliy Shvets, D.D.S.
• Wendy Shwe, MD
• Sonia Shweiki, D.D.S.
• Shyam M Puppala MDSC
• Shyam Pharmacy
• Elana Shyman, BCBA
• Si Herman DPM LTD
• Gabriel Lok-Hymn Si, MD
• Ashley Siadek, PT, DPT

• Neurology Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Neurology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2009; 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.