DR. KOLALA VASUDEVAMURTHY (NPI# 1790759033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790759033 |
| Entity Type | Individual |
| Full Name | DR. KOLALA VASUDEVAMURTHY |
| Credential | M.D. |
| Practice Address |
1900 E Main St Va Illiana Hcs Danville IL 61832-5100 |
| Mailing Address |
3929 Dahoma Dr Indianapolis IN 46237-3842 |
| Practice Telephone | 2175545495 |
| Mailing Telephone | 8123401805 |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
01026022A | IN | Allopathic & Osteopathic Physicians |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
036048860 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200191580 | 05 |
| Street Address |
1900 E MAIN ST VA ILLIANA HCS |
| City | DANVILLE |
| State | IL |
| Zip Code | 61832-5100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356349799 | Inwha Kim | Internal Medicine | 1900 E Main St, Danville, IL 61832-5100 | 2005-07-11 |
| 1033719208 | Shanon Imena Hardin | Prosthetist | 1900 E Main St, Danville, IL 61832-5100 | 2020-10-27 |
| 1952918435 | Nell Marie Aschenbrener | Social Worker | 1900 E Main St, Danville, IL 61832-5100 | 2020-09-28 |
| 1720693625 | Konrad E Biedron | Psychologist | 1900 E Main St, Danville, IL 61832-5100 | 2020-09-09 |
| 1639783244 | Edward Michael Maher IIi | Peer Specialist | 1900 E Main St, Danville, IL 61832-5100 | 2020-09-01 |
| 1114535747 | Kristina Singh Gill | Pharmacist | 1900 E Main St, Danville, IL 61832-5100 | 2020-07-20 |
| 1609493303 | Brandy Mysliwiec | Psychologist | 1900 E Main St, Danville, IL 61832-5100 | 2020-06-29 |
| 1750907796 | John Luis Mclaughlin | Counselor | 1900 E Main St, Danville, IL 61832-5198 | 2020-06-24 |
| 1023633310 | Thomas Nguyen | Social Worker | 1900 E Main St, Danville, IL 61832-5100 | 2020-06-11 |
| 1164047775 | Jane Mary Lakayil | Optometrist | 1900 E Main St, Danville, IL 61832-5100 | 2020-06-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316593957 | Margaret Jean Heath | Technician | 310 N North St, Danville, IL 61832 | 2019-08-09 |
| 1215494620 | Osf Multi-specialty Group | Non-Pharmacy Dispensing Site | 3653 N Vermilion Dr, Danville, IL 61832 | 2019-02-22 |
| 1003263104 | Bayview Family Clinic | Nurse Practitioner | 3595 N Vermillion Street, Danville, IL 61832 | 2016-05-18 |
| 1194179499 | Kinisha Vasser | Social Worker | 1900 E. Main Steet, Danville, IL 61832 | 2016-04-22 |
| 1023497237 | Alpha Omega Counseling Services | Community/Behavioral Health | 120 N Vermilion, Danville, IL 61832 | 2015-05-20 |
| 1437557568 | Terri D. Dunn | Hearing Instrument Specialist | 733 N. Logan #4, Audibel Hearing Aids, Danville, IL 61832 | 2014-12-05 |
| 1518361682 | Rosemarie Renee Eck | Nurse Practitioner | 1900 E Main St, Bldg 101-171, Va Illiana Health Care System, Danville, IL 61832 | 2014-10-17 |
| 1497181747 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 3649 N. Vermillion St., Danville, IL 61832 | 2013-09-18 |
| 1598000770 | Bayview Family Clinic Ltd | Health Maintenance Organization | 405 N. Sheridan St., Danville, IL 61832 | 2012-11-29 |
| 1992052666 | Katharine Lorraine Lerner | Pharmacist | 3649 N Vermilion St, Danville, IL 61832 | 2012-08-13 |
| Find all providers in zip 61832 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447340112 | Gary Price Miller | Internal Medicine | 158 Executive Drive, Danville, VA 24541-4100 | 2006-10-13 |
| 1902901556 | Brian W Zagol | Internal Medicine | 158 Executive Dr, Danville, VA 24541-4100 | 2006-09-14 |
| 1215949656 | Malec A Mokraoui | Internal Medicine | 2300 N. Vermilion Avenue, Medical Sub-specialties, Danville, IL 61832 | 2006-08-13 |
| 1871527804 | Hussam Hamdalla | Internal Medicine | 102 Citation Dr, Danville, KY 40422-9216 | 2006-07-10 |
| 1205872264 | Boshra George Zakhary | Internal Medicine | 505 Rison St, Danville, VA 24541 | 2006-06-20 |
| 1588629521 | Anwer Qureshi | Internal Medicine | 100 N Academy, Danville, PA 17822-2160 | 2006-04-20 |
| 1861466377 | Narsing R Damera | Internal Medicine | 100 Hospital Ln Ste 120, Danville, IN 46122-1993 | 2006-02-14 |
| 1548234966 | Sai K Devarapalli | Internal Medicine | 100 Hospital Ln Ste 210, Danville, IN 46122 | 2006-02-14 |
| 1124026588 | Stephen Van Davis | Internal Medicine | 200 Deer Run Rd, Danville, VA 24540-2866 | 2005-07-11 |
| 1164429635 | Danville Cardiovascular Consultants, Psc | Internal Medicine | 1250 Ben Ali Dr, Danville, KY 40422-8937 | 2005-06-30 |
| Find all providers in DANVILLE | ||||
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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.