Dr. Samuel K Appavu, M.D.
Surgery in Rockford, IL. Individual provider (NPI-1).
NPI number1346243169
StatusActive
Last updated in NPPESMar 2, 2011
Details
- NPI
- 1346243169
- Entity type
- Individual (NPI-1)
- Name
- Dr. Samuel K Appavu
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 24, 2005
- Last updated
- Mar 2, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | 036048085 | IL | Yes |
| 173000000X | Legal Medicine | 036048085 | IL | |
| 2086S0127X | Surgery, Trauma Surgery | 036048085 | IL | |
| 2086S0102X | Surgery, Surgical Critical Care | 036048085 | IL |
Practice location
2300 N Rockton AveSte 304
Rockford, IL 61103-3619
Phone 815-964-3333 · Fax 815-964-3134
Mailing address
Po Box 15730Loves Park, IL 61132-5730
Phone 815-964-3333 · Fax 815-964-3134
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