Sahitya Chiramana, DMD
Individual provider Active NPI Dentist · Carbondale, IL
NPI 1669917449 · NPPES record last updated Nov 21, 2019
Key facts
- NPI
- 1669917449
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 019.032434 (IL)
- Practice address
- 402 S Lewis LN
Carbondale, IL 62901 - Phone
- (618) 519-9200
- Fax
- (618) 519-9375
- NPI assigned
- Jan 3, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS041086 | PA | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS041086 | PA | |
| Dentist | 122300000X | 019.032434 | IL | Yes |
Addresses
Primary practice location
402 S Lewis LN
Carbondale, IL 62901
Mailing address
109 California Street
P O Box 577
Carterville, IL 62918-0577
Phone (618) 519-9200
Other practice location 1
242 S Highland Ave
suite 201
Pittsburgh, PA 15206-3937
Phone (412) 661-7316
Other practice location 2
242 S Highland Ave
suite 201
Pittsburgh, PA 15206-3937
Phone (412) 661-7316
Other providers in Carbondale, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 21, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.