Susmita Ayyagari, MD
Hospitalist in Rockford, IL. Individual provider (NPI-1).
NPI number1275776445
StatusActive
Last updated in NPPESNov 24, 2017
Details
- NPI
- 1275776445
- Entity type
- Individual (NPI-1)
- Name
- Susmita Ayyagari
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 17, 2009
- Last updated
- Nov 24, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208M00000X | Hospitalist | 036131551 | IL | Yes |
Practice location
2310 Stoneridge CloseRockford, IL 61107-1038
Phone 815-262-8156
Mailing address
2310 Stoneridge CloseRockford, IL 61107-1038
Phone 815-262-8156
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