Samyukta Koppula (NPI# 1770641763, PAC ID# 7618073867) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ALLERGY/IMMUNOLOGY.
| Nation Provider ID (NPI) | 1770641763 |
| PAC ID by PECOS | 7618073867 |
| Professional Enrollment ID | I20070503000545 |
| Full Name | Samyukta Koppula |
| Address |
6857 Kingery Hwy Willowbrook IL 60527-5114 |
| Gender | F |
| Credential | MD |
| Graduation Year | 1982 |
| Primary Specialty | ALLERGY/IMMUNOLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 6857 Kingery Hwy, Willowbrook, IL 60527-5114 |
| Street Address |
6857 KINGERY HWY |
| City | WILLOWBROOK |
| State | IL |
| Zip | 60527-5114 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kevin Michael Smith | Family Medicine | Vpa PC | 1333 Burr Ridge Pkwy, Suite 200, Burr Ridge, IL 60527-0833 |
| Candice S Anderson | Family Medicine | Vpa PC | 1333 Burr Ridge Pkwy, Suite 200, Burr Ridge, IL 60527-0833 |
| Holly Huong Le | Optometry | Direct Healthcare Solutions LLC | 1333 Burr Ridge Pkwy, Suite 200, Burr Ridge, IL 60527-0833 |
| Sarah J Seavers | Qualified Audiologist | Direct Healthcare Solutions LLC | 1333 Burr Ridge Pkwy, Suite 200, Burr Ridge, IL 60527-0833 |
| Diana N Ranjbar | Optometry | Direct Healthcare Solutions LLC | 1333 Burr Ridge Pkwy, Suite 200, Burr Ridge, IL 60527-0833 |
| Cassandra Waramit | Nurse Practitioner | Paragon Clinical LLC | 1333 Burr Ridge Pkwy, Suite 200, Burr Ridge, IL 60527-0833 |
| Angela Peters | Nurse Practitioner | Paragon Clinical LLC | 1333 Burr Ridge Pkwy, Suite 200, Burr Ridge, IL 60527-0833 |
| Jennifer N Heise | Nurse Practitioner | Paragon Clinical LLC | 1333 Burr Ridge Pkwy, Suite 200, Burr Ridge, IL 60527-0833 |
| Sung H Kweon | Nurse Practitioner | Paragon Clinical LLC | 1333 Burr Ridge Pkwy, Suite 200, Burr Ridge, IL 60527-0833 |
| Natasha B Gray | Nurse Practitioner | Paragon Clinical LLC | 1333 Burr Ridge Pkwy, Suite 200, Burr Ridge, IL 60527-0833 |
| Find all physicians in zip 60527 | |||
| City | WILLOWBROOK |
| Zip Code | 60527 |
| Specialty | ALLERGY/IMMUNOLOGY |
| City + Specialty | WILLOWBROOK + ALLERGY/IMMUNOLOGY |
Please comment or provide details below to improve the information on Samyukta Koppula.
| 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.