ILLIANA INTERNAL MEDICINE, L.L.C. (NPI# 1003962549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003962549 |
| Entity Type | Organization |
| Organization Name | ILLIANA INTERNAL MEDICINE, L.L.C. |
| Practice Address |
1332 N 7th St Terre Haute IN 47807-1004 |
| Practice Telephone | 8124788888 |
| Practice Fax Number | 8124781114 |
| Mailing Telephone | 8124788888 |
| Mailing Fax Number | 8124781114 |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2007-09-14 |
| Authorized Official Name | DR. VUPPALA V REDDY (SENIOR PARTNER) |
| Authorized Official Telephone | 8124788888 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
0104962A | IN | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | NPI VUPPALA V REDDY MD | 1174612931 | 01 |
| IN | NPI RAVI KODURU,MD | 1265521058 | 01 |
| IN | NPI KOSHY OOMMEN MD | 1497844278 | 01 |
| IN | NPI DIPEN SHAH MD | 1093804874 | 01 |
| Street Address |
1332 N 7TH ST |
| City | TERRE HAUTE |
| State | IN |
| Zip Code | 47807-1004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174612931 | Vuppala Venkat Reddy | Internal Medicine | 1332 N 7th St, Terre Haute, IN 47807-1004 | 2006-10-12 |
| 1265521058 | Ravi K Koduru | Internal Medicine | 1332 N 7th St, Terre Haute, IN 47807-1004 | 2006-10-12 |
| 1093804874 | Dipen V Shah | Internal Medicine | 1332 N 7th St, Terre Haute, IN 47807-1004 | 2006-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972150175 | Acceleraed Rehabilitation Centers Ltd | Physical Therapist | 516 Wabash Ave, Terre Haute, IN 47807 | 2019-08-22 |
| 1548753403 | Terre Haute Aal Lp | Assisted Living Facility | 650 Lafayette Avenue, Terre Haute, IN 47807 | 2018-06-14 |
| 1790286300 | Hamilton Center, Inc. | Clinic/Center | 88 Court Wabash Court, Terre Haute, IN 47807 | 2018-02-28 |
| 1073022703 | Charles Martinez | Case Manager/Care Coordinator | 1619 5th Ave, Terre Haute, IN 47807 | 2017-09-26 |
| 1326578931 | Ian Nicholas Bostock | Specialist/Technologist | 1113 North 8th Street, Terre Haute, IN 47807 | 2017-06-15 |
| 1619309804 | Kimberly R Rollings | Audiologist | 1429 North Sixth Street, Terre Haute, IN 47807 | 2013-07-30 |
| 1376827550 | Lazaro Vu | Pharmacist | 1300 Wabash Avenue, Terre Haute, IN 47807 | 2011-10-05 |
| 1609016211 | Midwest Neurosurgery, P.C. | Specialist | 1530 N. 7th Street, Suite 106, Terre Haute, IN 47807 | 2009-02-23 |
| 1114007838 | Micheal J Deady Dds Inc | Oral & Maxillofacial Surgery | 1630 Poplar St, Terre Haute, IN 47807 | 2006-10-17 |
| 1316958549 | Wabash Valley Urological Assoc Inc | Specialist | 1235 Ohio Street, Terre Haute, IN 47807 | 2006-08-11 |
| Find all providers in zip 47807 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972011815 | Wellness for Life Medical LLC | Clinic/Center | 3487 S 4th St, Terre Haute, IN 47802 | 2018-01-12 |
| 1336460237 | Wellness for Life Medical LLC | Clinic/Center | 3250 Maple Ave, Terre Haute, IN 47804-1727 | 2010-06-15 |
| 1407153554 | Associated Physicians of Indiana LLC | Clinic/Center | 3051 S Us Highway 41, Terre Haute, IN 47802-3791 | 2011-02-24 |
| 1548560543 | Grace Lee Walker Md PC | Clinic/Center | 476 Buckeye St, Terre Haute, IN 47804-4079 | 2010-10-25 |
| 1023027190 | Union Hospital Inc | Clinic/Center | 4001 Wabash Ave, Terre Haute, IN 47803-1647 | 2006-08-06 |
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| 1710525175 | Proactive - South Newton | Clinic/Center | 1388 South 50 East, Kentland, IN 47951 | 2019-12-17 |
| 1902443781 | Proactive - Edinburgh Dpc | Clinic/Center | 220 N Pleasant St, Edinburgh, IN 46124-1300 | 2019-11-29 |
| 1063058311 | Proactive - Eastern Pulaski | Clinic/Center | 715 School Dr, Winamac, IN 46996-1584 | 2019-11-21 |
| 1275179541 | Proactive - New Prairie | Clinic/Center | 605 E Michigan St, Rolling Prairie, IN 46371-9576 | 2019-11-21 |
| 1982255667 | Careatc | Clinic/Center | 59427 County Road 13, Elkhart, IN 46517-3503 | 2019-09-24 |
| 1134777824 | Activate Healthcare - Mcoe Clinic | Clinic/Center | 6920 Parkdale Pl Ste 100, Indianapolis, IN 46254-5604 | 2019-08-27 |
| 1457906141 | With Dignity Too LLC | Clinic/Center | 1958 West Boulivard, Kokomo, IN 46902 | 2019-08-08 |
| Find all providers with the same taxonomy | ||||
| City | TERRE HAUTE |
| Zip Code | 47807 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.