SRAVANTHI NAGAVALLI


Address: 1253 N Alpine Rd, Rockford, IL 61107
Phone: 7796969201

SRAVANTHI NAGAVALLI (NPI# 1861655375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861655375
Entity Type Individual
Full Name SRAVANTHI NAGAVALLI
Credential MD
Practice Address 1253 N Alpine Rd
Rockford
IL 61107
Mailing Address Po Box 78866
Milwaukee
WI 53278-8866
Practice Telephone 7796969201
Mailing Telephone 7796967150
Mailing Fax Number 7796967342
Enumeration Date 2008-07-03
Last Update Date 2018-07-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207R00000X Internal Medicine 9407033 KS Allopathic & Osteopathic Physicians
Y 207RE0101X Internal Medicine
Specialization: Endocrinology, Diabetes & Metabolism
036-127591 IL Allopathic & Osteopathic Physicians

Office Location

Street Address 1253 N ALPINE RD
City ROCKFORD
State IL
Zip Code 61107

Providers in the same location

NPI Name Taxonomy Address Enumeration
1942227905 Carolyn M Awender Audiologist 1253 N Alpine Rd, Rockford, IL 61107-2201 2006-07-16
1821433137 Aleida Rodriguez Internal Medicine 1253 N Alpine Rd, Rockford, IL 61107-2201 2013-05-01
1366756793 Jennifer C Lane Otolaryngology 1253 N Alpine Rd, Rockford, IL 61107 2010-07-27
1730404419 Kelly M Logli Nurse Practitioner 1253 N Alpine Rd, Rockford, IL 61107 2010-04-06
1104065598 Jessica E Muccianti Physician Assistant 1253 N Alpine Rd, Rockford, IL 61107 2009-02-10
1528231354 Heath A. Hoffman Podiatrist 1253 N Alpine Rd, Rockford, IL 61107 2008-04-13
1194903849 Ann L. Broughton Audiologist 1253 N Alpine Rd, Rockford, IL 61107-2201 2008-02-05
1144382268 Swedishamerican Hospital Otolaryngology 1253 N Alpine Rd, Rockford, IL 61107 2006-12-14
1982782728 Rachael E Dolezal Audiologist 1253 N Alpine Rd, Rockford, IL 61107-2201 2006-11-01
1821186263 John M Nielsen Podiatrist 1253 N Alpine Rd, Rockford, IL 61107 2006-10-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356952139 Jessica Marie Tamayo Fernandez Pharmacist 1145 Alpine Rd, Rockford, IL 61107 2020-08-13
1467092379 Unknown Safa Fatima Student in an Organized Health Care Education/Training Program Mercyhealth Mulford Clinic, 5970 Churchview Drive, Rockford, IL 61107 2020-01-08
1194367912 Matt J Kriebs Nurse Practitioner 1235 N Mulford Rd Suite 103, Rockford, IL 61107 2019-10-14
1265962336 Mary Golembeck Nurse Practitioner 7290 Argus Dr, Rockford, IL 61107 2017-06-12
1831644749 Tessa Lee Occupational Therapist 3422 Lauderdale Ln, Rockford, IL 61107 2016-08-20
1942626965 Elevated Health Essentials, LLC Chiropractor 124 N Water St Ste 204e, Rockford, IL 61107 2014-03-14
1093139909 Swedishamerican Hospital Surgery 1639 N Alpine Rd Ste 400, Rockford, IL 61107 2014-02-12
1346676582 Christopher Anthony Ziganto Pharmacist 494 Bienterra Trail #2, Rockford, IL 61107 2013-09-19
1023358272 Lavanya Durairajan Physical Therapist 7358 Shiligton Dr, Rockford, IL 61107 2013-02-26
1851523146 Great Smiles of Rockford Durable Medical Equipment & Medical Supplies 780 N. Mulfrord Road, Rockford, IL 61107 2009-08-20
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Taxonomy Information

Taxonomy Code 207RE0101X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Endocrinology, Diabetes & Metabolism

Taxonomy Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568572758 Aliya S. Naseer Internal Medicine 2300 N Rockton Ave, Rockford, IL 61103-3619 2006-08-30
1770693962 John Garry Hovis Internal Medicine 2300 N Rockton Ave, Rockford, IL 61103-3619 2006-08-30
1528042637 Joeseph Pittman Internal Medicine 1200 W State St, Rockford, IL 61102-2112 2005-12-01
1235129230 Paul E Reith Internal Medicine 2300 N Rockton Ave, Main Clinic - Endo Dept., Rockford, IL 61103-3619 2005-10-21

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1356961304 Wahid Kassar Md Ltd Internal Medicine 7447 W Talcott Ave Ste 444, Chicago, IL 60631-3715 2020-04-20
1245701812 Chrysalis Health of Il P.C. Internal Medicine 402 Gardenia Ln, Buffalo Grove, IL 60089-1661 2018-12-07
1467920124 Impact Physician Group, Illinois, LLC Internal Medicine 115 E South St Ste F, Plano, IL 60545-1595 2018-11-10
1538669510 Oa Labs Clinic LLC. Internal Medicine 6321 Fairview Ave Ste B, Westmont, IL 60559-2886 2018-02-16
1457866519 Mohammad Jamal Uddin Ansari Internal Medicine 751 N Rutledge St Ste 400, Springfield, IL 62702 2017-12-11
1356861496 Javier Alcid Duron Tabora Internal Medicine 1725 W Harrison St Ste 250-a, Chicago, IL 60612-3841 2017-06-20
1336676923 Villagemd Indiana, PC Internal Medicine 1 N Franklin St Ste 1205, Chicago, IL 60606 2017-05-15
1780135426 Endocrine and Metabolic Center Inc Internal Medicine 280 Stonegate Rd, Algonquin, IL 60102-5600 2016-10-18
1174975601 Bilal Shaikh Internal Medicine 1750 W Harrison St Ste 250, Chicago, IL 60612 2016-07-08
1316396294 Melissa Faye Cohen Internal Medicine 835 S. Wolcott Street, Suite E625, M/c 640, Chicago, IL 60612 2016-06-10
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Competitor

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City ROCKFORD
Zip Code 61107

Improve Information

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Dataset Information

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.

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