Dr. Vamsi Krishna Chilluru, M.B.B.S
Internal Medicine, Nephrology in Carbondale, IL. Individual provider (NPI-1).
NPI number1295099406
StatusActive
Last updated in NPPESAug 27, 2021
Details
- NPI
- 1295099406
- Entity type
- Individual (NPI-1)
- Name
- Dr. Vamsi Krishna Chilluru
- Credential
- M.B.B.S
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 2, 2012
- Certification date
- Aug 27, 2021
- Last updated
- Aug 27, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RN0300X | Internal Medicine, Nephrology | 036156322 | IL | Yes |
| 208M00000X | Hospitalist | 2018010267 | MO |
Practice location
1350 Cedar CtCarbondale, IL 62901-5336
Phone 618-529-2955 · Fax 618-457-7823
Mailing address
1350 Cedar CtCarbondale, IL 62901-5336
Phone 618-529-2955 · Fax 618-457-7823
Other practice locations
1101 W Liberty St
Farmington, MO 63640
Farmington, MO 63640
Phone 573-708-1272 · Fax 573-756-6807
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