PRINCY PATHALIL GEORGE (NPI# 1255725164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255725164 |
Entity Type | Individual |
Full Name | PRINCY PATHALIL GEORGE |
Credential | MD |
Practice Address |
5730 S. Drexel Avenue Mc 8029 Chicago IL 60637 |
Practice Telephone | 7738349102 |
Mailing Telephone | 7738349102 |
Enumeration Date | 2015-03-28 |
Last Update Date | 2018-07-10 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080P0204X |
Pediatrics Specialization: Pediatric Emergency Medicine |
036.146561 | IL | Allopathic & Osteopathic Physicians |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Address | Telephone Number | Fax Number |
---|---|---|
5323 Harry Hines Blvd, Dallas, TX 753907201 | 2144567000 |
Street Address |
5730 S. DREXEL AVENUE MC 8029 |
City | CHICAGO |
State | IL |
Zip Code | 60637 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386263234 | Pooja Ramnani | Pharmacist | 5841 S Maryland Ace, Chicago, IL 60637 | 2020-04-10 |
1780220079 | Tara Coleman | Non-emergency Medical Transport (VAN) | 808 E. 63rd Street, Suite 135, Chicago, IL 60637 | 2019-11-21 |
1366003501 | Valerie Silas | Case Management | 6330 S King Drive, Chicago, IL 60637 | 2019-06-27 |
1205391620 | Derek Joseph Fiedler | Anesthesiology | University of Chicago, 5841 S Maryland Ave, Chicago, IL 60637 | 2019-02-11 |
1821573072 | Ugochinyere Ohaja | Registered Nurse | 5656 South Maryland Avenue, Chicago, IL 60637 | 2018-10-03 |
1053899138 | Won Hee Oh | Physician Assistant | 5841 S. Maryland Ave., Mc5040, Chicago, IL 60637 | 2018-08-01 |
1558854695 | Rasidat Adeduntan | Internal Medicine | 5841 S. Maryland Avenue, [7082], Chicago, IL 60637 | 2018-06-13 |
1194235283 | Melissa Ann Arangoa | Registered Nurse | 5841 S. Maryland Ave, Mc 1083, Chicago, IL 60637 | 2017-10-03 |
1558880633 | Marni Harris | Optometrist | 5841 S Maryland Ave # S421, Chicago, IL 60637 | 2017-09-11 |
1992235105 | Vidya Mahavadi | Pediatrics | 5841 S. Maryland Avenue, Mail Code 8016, Chicago, IL 60637 | 2017-06-20 |
Find all providers in zip 60637 |
Taxonomy Code | 2080P0204X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Pediatric Emergency Medicine |
A pediatrician who has special qualifications to manage emergencies in infants and children. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427391515 | Sriram Ramgopal | Pediatrics | 255 E Chicago Ave, Chicago, IL 60611-2605 | 2013-03-27 |
1720138779 | Alison S Tothy | Pediatrics | 5841 South Maryland Ave. 0810, Dept. of Pediatrics; Section of Pediatric Emergency Med, Chicago, IL 60637-1407 | 2007-01-11 |
1205890613 | Susan Miriam Fuchs | Pediatrics | 225 E Chicago Ave # 62, Chicago, IL 60611 | 2006-04-13 |
1508307752 | Destiny Deshawn Wilson | Pediatrics | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2017-03-20 |
1407240914 | Amy Z. Zhou | Pediatrics | 225 E Chicago Ave, Chicago, IL 60611 | 2015-03-23 |
1164860557 | Anisha Kshetrapal | Pediatrics | 225 E Chicago Ave, Chicago, IL 60611 | 2013-06-07 |
1396011540 | Wee-jhong Chua | Pediatrics | 225 E Chicago Ave, Chicago, IL 60611 | 2012-03-31 |
1558656108 | Leah Ruth Finkel | Pediatrics | 1740 W Taylor St, Chicago, IL 60612-7232 | 2011-06-12 |
1962677211 | Dana Doreen Aronson Schinasi | Pediatrics | 225 E Chicago Ave, Box 62, Chicago, IL 60611-2991 | 2008-04-28 |
1376730770 | Rebekah Anne Burns | Pediatrics | 225 E Chicago Ave, Box 62, Chicago, IL 60611-2991 | 2007-09-28 |
Find all providers in CHICAGO |
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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.