BHANU K VAKKALANKA (NPI# 1578766796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578766796 |
| Entity Type | Individual |
| Full Name | BHANU K VAKKALANKA |
| Credential | M.D. |
| Practice Address |
500 John Deere Rd Ste 102 Moline IL 61265-6892 |
| Mailing Address |
709 S Mercer Ave Bloomington IL 61701-5705 |
| Practice Telephone | 3097794940 |
| Practice Fax Number | 3097794989 |
| Mailing Telephone | 4408294420 |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2020-09-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 57010826 | OH | Allopathic & Osteopathic Physicians |
| Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
60946 | MN | Allopathic & Osteopathic Physicians |
| Street Address |
500 JOHN DEERE RD STE 102 |
| City | MOLINE |
| State | IL |
| Zip Code | 61265-6892 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083065411 | Megan Elizabeth Pikuza | Nurse Practitioner | 500 John Deere Rd Ste 102, Moline, IL 61265 | 2016-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861035438 | Ora Orthopedics, PC | Orthopaedic Surgery | 510 Valley View Drive, Moline, IL 61265 | 2019-10-25 |
| 1598231698 | Secure Dental Vi | Dentist | 106 16th St, Unit #90, Moline, IL 61265 | 2018-10-17 |
| 1487152088 | Fjellheim P.c | Chiropractor | 1535 47th Avenue, Suite 5, Moline, IL 61265 | 2018-01-29 |
| 1326567199 | Elizabeth Ann Teichler | Respiratory Therapist, Registered | 4360 7th Street, Moline, IL 61265 | 2017-09-13 |
| 1497279913 | Caroline M Mather | Behavioral Analyst | 2430 6th Avenue, Moline, IL 61265 | 2017-07-26 |
| 1639625239 | Elizabeth Anderson | Nurse's Aide | 4319 26th Ave Apt 1, Moline, IL 61265 | 2016-09-01 |
| 1437604154 | Lindsey Bollaert | Nurse Practitioner | 1100 36th Ave, Moline, IL 61265 | 2016-08-23 |
| 1437541869 | Divvymed, LLC | Pharmacy | 4300 44th Ave, Moline, IL 61265 | 2015-02-23 |
| 1477955250 | Todd Stone | Nurse Practitioner | 1100 3th Avenue, Moline, IL 61265 | 2014-09-23 |
| 1588084479 | Familia Dental Moline LLC | Dentist | 1102 4th Ave, Moline, IL 61265 | 2014-04-18 |
| Find all providers in zip 61265 | ||||
| Taxonomy Code | 207RX0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Medical Oncology |
| An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891754404 | David M Spector | Internal Medicine | 600 John Deere Road Suite 200, Moline, IL 61265-6897 | 2006-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831647205 | Marcelo Rocha De Sousa Cruz | Internal Medicine | 233 East Superior Street, 1st Floor, Chicago, IL 60611 | 2016-09-14 |
| 1720426513 | Michael John Jelinek | Internal Medicine | 1725 W Harrison St Ste 809, Chicago, IL 60612-3861 | 2013-06-13 |
| 1265696348 | Sunandana Chandra | Internal Medicine | 645 N. Michigan Avenue, Suite 1006, Chicago, IL 60611 | 2008-07-17 |
| 1033318043 | John Charles Brooks | Internal Medicine | 753 Brookwood Ter # 5, Olympia Fields, IL 60461-1543 | 2007-07-11 |
| 1598819575 | Sabet Siddiqui | Internal Medicine | 9 Health Services Dr Ste 5, Dekalb, IL 60115-9601 | 2007-01-23 |
| 1417011529 | Alicia Katherine Morgans | Internal Medicine | 676 N Saint Clair St Fl 21, Chicago, IL 60611-2927 | 2006-12-21 |
| 1629166442 | Matthew Eric Adess | Internal Medicine | 757 Park Ave W, Highland Park, IL 60035-2556 | 2006-10-10 |
| 1629164678 | Justin D Floyd | Internal Medicine | 13 Wolf Creek Dr, Suite 1, Swansea, IL 62226-2367 | 2006-10-05 |
| 1356441943 | Osvaldo H Wesly | Internal Medicine | 105 S. Amos Ave, Springfield, IL 62704 | 2006-09-23 |
| 1467467803 | Mid-illinois Hematology Oncology Associates Ltd | Internal Medicine | 407 E Vernon Ave Ste 104, Normal, IL 61761-3813 | 2006-07-31 |
| Find all providers with the same taxonomy | ||||
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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.