Sujata Sitaula, md
Internal Medicine, Endocrinology, Diabetes & Metabolism in Maryville, IL. Individual provider (NPI-1).
NPI number1548678261
StatusActive
Last updated in NPPESJul 10, 2019
Details
- NPI
- 1548678261
- Entity type
- Individual (NPI-1)
- Name
- Sujata Sitaula
- Credential
- md
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 25, 2014
- Last updated
- Jul 10, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RE0101X | Internal Medicine, Endocrinology, Diabetes & Metabolism | 036149323 | IL | Yes |
Practice location
2133 Vadalabene Dr Ste 1Maryville, IL 62062-5839
Phone 618-288-4350 · Fax 618-288-4296
Mailing address
6810 State Route 162Box 215
Maryville, IL 62062-8566
Phone 618-391-6405 · Fax 618-288-4088
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Endocrinology, Diabetes & Metabolism Physician providers in Maryville, IL
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.