Shyam M Puppala (NPI# 1043390099, PAC ID# 3274579230) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1043390099 |
| PAC ID by PECOS | 3274579230 |
| Professional Enrollment ID | I20050630000311 |
| Full Name | Shyam M Puppala |
| Address |
2544 W Monrose Ave Chicago IL 60618-1530 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1973 |
| Primary Specialty | PSYCHIATRY |
| Secondary Specialties | ADDICTION MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140177 | JACKSON PARK HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2544 W Monrose Ave, Chicago, IL 60618-1530 | ||
| 7531 S Stony Island Ave, Suite 7, Chicago, IL 60649-3954 |
| Street Address |
2544 W MONROSE AVE |
| City | CHICAGO |
| State | IL |
| Zip | 60618-1530 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ali H Bawamia | Internal Medicine | Knd Development 59 LLC | 2544 W Montrose Ave, Chicago, IL 60618-1537 |
| Shakib S Sakla | Internal Medicine | 2544 W Montrose Ave, Chicago, IL 60618-1537 | |
| Kerstin Alischoewski | Internal Medicine | 2544 W Montrose Ave, Chicago, IL 60618-1537 | |
| Saleem I Qureshi | Anesthesiology | Knd Development 59 LLC | 2544 W Montrose Ave, Chicago, IL 60618-1537 |
| Juan Fernando Villegas-garcia | Pulmonary Disease | Knd Development 59 LLC | 2544 W Montrose Ave, Chicago, IL 60618-1537 |
| Courtney A Tabaka | Critical Care (intensivists) | Associates In Pulmonary and Critical Care Ltd | 2544 W Montrose Ave, Chicago, IL 60618-1537 |
| Samina S Khan | Nephrology | Knd Development 59 LLC | 2544 W Montrose Ave, Chicago, IL 60618-1537 |
| Mohammed Bachar Ghabra | Neurology | 2544 W Montrose Ave, Chicago, IL 60618-1537 | |
| Maher Al-koubaytari | Internal Medicine | Illinois Medical Care Ltd | 2544 W Montrose Ave, Chicago, IL 60618-1537 |
| Muhammad Z Khan | Emergency Medicine | Knd Development 59 LLC | 2544 W Montrose Ave, Chicago, IL 60618-1537 |
| Find all physicians in zip 60618 | |||
| City | CHICAGO |
| Zip Code | 60618 |
| Specialty | PSYCHIATRY |
| City + Specialty | CHICAGO + PSYCHIATRY |
Please comment or provide details below to improve the information on Shyam M Puppala.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.