Selvam LTD.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036065767 Issued in IL

Legal business name

SELVAM LTD.

Practice address

946 W 79TH Street
Chicago, IL 60620

Phone

(773) 723-8501

NPI assigned

Aug 25, 2010

Organization subpart

No

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

Authorized official

Name

Dr. M. Pannir Selvam, M.D.

Title

Physician

Phone

(773) 339-9375

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Selvam Medical Clinic Other name

Locations

Practitioners 1

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

• Leela P Selvam, M.D.

  • Pediatrics Physician
  • Chicago, IL
  • NPI 1477647196
  NPD (past)

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

{
    "created_epoch": "1282694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325635200000",
    "number": "1740596014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "946 W 79TH STREET",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60620",
            "telephone_number": "773-723-8501",
            "fax_number": "773-723-8524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "946 W 79TH STREET",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60620",
            "telephone_number": "773-723-8501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELVAM LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-25",
        "last_updated": "2012-01-04",
        "status": "A",
        "authorized_official_last_name": "SELVAM",
        "authorized_official_first_name": "M. PANNIR",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "773-339-9375",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036065767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036065767",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Selvam Medical Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Roni Lynn Seltzberg, M.D.
• Anne Seltzer, LCSW
• Julie Seltzer
• Selva Psychology & Wellness, PLLC
• Kai-Sa Selvage
• Leela P Selvam, M.D.
• M Pannir Selvam, MD
• Kavitha Selvan, MD
• Selvaraj Ophthalmology LLC
• Andrew Niroshan Selvarajah, M.D.

• Family Medicine Physician in Chicago, IL
• Providers in Chicago, 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 Jan 4, 2012; 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.