NPIMap

Organization Active NPI

Asthma Allergy Clinic of Quad Cities, S.C

  • Allergy Physician
  • Moline, IL
National Provider Identifier
1861681306
Registry record updated Dec 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
Legal business name
ASTHMA ALLERGY CLINIC OF QUAD CITIES, S.C
Practice address
525 Valley View Dr
Moline, IL 61265-6138
Phone
(309) 764-5900
Fax
(309) 764-5926
NPI assigned
Oct 22, 2007
Last updated
Dec 3, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2007

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

Authorized official

Name
Mohana R Velagapudi, M.D.NPI 1487633087
Title
President
Phone
(309) 764-5900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician 207KA0200X Primary

Addresses

Primary practice location

525 Valley View Dr
Moline, IL 61265-6138

Mailing address

525 Valley View Dr
Moline, IL 61265-6138
Phone (309) 764-5900

National Provider Directory

National Provider Directory

Locations

4372 7th St
Moline, IL 61265
Phone (309) 277-0220

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196640000000",
    "number": "1861681306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 VALLEY VIEW DR",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656138",
            "telephone_number": "309-764-5900",
            "fax_number": "309-764-5926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 VALLEY VIEW DR",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656138",
            "telephone_number": "309-764-5900",
            "fax_number": "309-764-5926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASTHMA ALLERGY CLINIC OF QUAD CITIES, S.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-22",
        "last_updated": "2007-12-03",
        "status": "A",
        "authorized_official_last_name": "VELAGAPUDI",
        "authorized_official_first_name": "MOHANA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "309-764-5900",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moline, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; 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.