PRAVEEN V PARVATHALA MD LLC (NPI# 1336373356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336373356 |
| Entity Type | Organization |
| Organization Name | PRAVEEN V PARVATHALA MD LLC |
| Practice Address |
3555 Sweet Maggie Ln Naperville IL 60564-8303 |
| Practice Telephone | 6309046210 |
| Practice Fax Number | 6309521447 |
| Mailing Telephone | 6309046210 |
| Mailing Fax Number | 6309521447 |
| Enumeration Date | 2009-05-05 |
| Last Update Date | 2009-10-16 |
| Authorized Official Name | DR. PRAVEEN V PARVATHALA (PRESIDENT) |
| Authorized Official Telephone | 7086910405 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
3555 SWEET MAGGIE LN |
| City | NAPERVILLE |
| State | IL |
| Zip Code | 60564-8303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215598842 | Jennifer A Mcgill | Speech-Language Pathologist | Sovereign Pediatric Therapy, 1315 Macom Dr #103, Naperville, IL 60564 | 2019-06-25 |
| 1083187660 | Erin Michelle Hankins | Counselor | 2132 Deep Water Lane, Suite # 240, Naperville, IL 60564 | 2019-01-07 |
| 1851873905 | Helen A Bruckner | Student in an Organized Health Care Education/Training Program | 28w154 Country View Dr., Naperville, IL 60564 | 2018-09-05 |
| 1912483074 | Kristina Kochanova | Psychologist | 3380 Lacrosse Lane, Suites 106-107, Naperville, IL 60564 | 2018-07-12 |
| 1831608397 | Courtney Srum | Speech-Language Pathologist | Graham Elementary School 2315 High Meadow Rd., Naperville, IL 60564 | 2017-09-27 |
| 1447707880 | Isabel Betancourt | Registered Nurse | 1315 Macom Dr Ste 5, Naperville, IL 60564 | 2016-09-01 |
| 1134577802 | Rosa Maria Felix-jones | Massage Therapist | 3420 Lacrosse, Suite 100, Unit 2 & 3, Naperville, IL 60564 | 2016-06-02 |
| 1245618412 | Ian E Evans | Counselor | 2948 Artesian Rd., Suite 112, Naperville, IL 60564 | 2015-05-08 |
| 1093114498 | Sovereign Rehab | Clinic/Center | 1315 Macom Dr. Suite 103, Naperville, IL 60564 | 2014-08-21 |
| 1154745891 | Antonina Rosaria Sullivan | Occupational Therapist | 10350 Brenner Ct, Naperville, IL 60564 | 2014-02-18 |
| Find all providers in zip 60564 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467800961 | Ishtiaq Ahmed Habib | Internal Medicine | 1804 N Naper Blvd Ste 103, Naperville, IL 60563-8831 | 2016-05-25 |
| 1871977892 | Edward Health Ventures | Internal Medicine | 2308 N Route 59, Naperville, IL 60563-2061 | 2015-07-20 |
| 1639489057 | Naperville Medical Group Corporation | Internal Medicine | 1020 E Ogden Ave Ste 314, Naperville, IL 60563-8611 | 2010-10-19 |
| 1861710733 | Neha Shah | Internal Medicine | 1331 W 75th St Ste 201, Naperville, IL 60540-9311 | 2010-05-17 |
| 1255573622 | Adventist Health Partners, Inc | Internal Medicine | 1012 95th St Ste 3, Naperville, IL 60564-5040 | 2009-04-01 |
| 1972759298 | Kevin K Pandya | Internal Medicine | 120 Spalding Dr Ste 410, Nephrology Associates of Northern Illinois, Naperville, IL 60540-6558 | 2008-08-18 |
| 1639340029 | Jobby Mampilly | Internal Medicine | 100 Spalding Dr Ste 102, Naperville, IL 60540 | 2008-03-13 |
| 1205016086 | Prime Health Associates Inc | Internal Medicine | 519 W 87th St, Naperville, IL 60565-3128 | 2007-11-08 |
| 1588853113 | Matthew Michael Dunne | Internal Medicine | 801 S. Washington St, 3rd Floor, Naperville, IL 60540-7430 | 2007-10-19 |
| 1407046089 | Cynthia J. Manfredi | Internal Medicine | 150 W Warrenville Rd # 600-1100, Naperville, IL 60563-8473 | 2007-07-30 |
| Find all providers in NAPERVILLE | ||||
| City | NAPERVILLE |
| Zip Code | 60564 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.