DR. JAYA KASTURI


Address: 1812 Broadway St, Melrose Park, IL 60160-2039
Phone: 7086814040

DR. JAYA KASTURI (NPI# 1548228711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548228711
Entity Type Individual
Full Name DR. JAYA KASTURI
Credential M.D.
Practice Address 1812 Broadway St
Melrose Park
IL 60160-2039
Mailing Address 1730 Park St
Suite 101
Naperville
IL 60563-2688
Practice Telephone 7086814040
Practice Fax Number 7086814052
Mailing Telephone 6307180200
Mailing Fax Number 6307180900
Enumeration Date 2006-05-03
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RH0000X Internal Medicine
Specialization: Hematology
IL Allopathic & Osteopathic Physicians

Office Location

Street Address 1812 BROADWAY ST
City MELROSE PARK
State IL
Zip Code 60160-2039

Providers in the same location

NPI Name Taxonomy Address Enumeration
1992249536 Dana Susan Shabeeb Dentist 1812 Broadway St, Melrose Park, IL 60160-2039 2016-12-16
1407309545 Dhara Patel Dentist 1812 Broadway St, Melrose Park, IL 60160-2039 2016-07-25
1275985889 Yashoni Shah Dentist 1812 Broadway St, Melrose Park, IL 60160-2039 2016-07-07
1396197083 Haein Kil Dentist 1812 Broadway St, Melrose Park, IL 60160-2039 2016-07-06
1104256981 Elite Family Dental Center, LLC Dentist 1812 Broadway St, Melrose Park, IL 60160-2039 2013-11-15
1003246927 All Kids Dental Center, LLC Dentist 1812 Broadway St, Melrose Park, IL 60160-2039 2013-11-13
1841585791 Liset Beltran Dentist 1812 Broadway St, Melrose Park, IL 60160-2039 2011-06-17
1295816197 Elizabeth Grace Walton Dentist 1812 Broadway St, Melrose Park, IL 60160-2039 2006-10-18
1518995927 Rafath Rasheed Internal Medicine 1812 Broadway St, Suite 22, Melrose Park, IL 60160-2039 2006-06-28
1457309874 Biswamay Ray Urology 1812 Broadway St, Suite 23, Melrose Park, IL 60160-2039 2006-05-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295217651 Kairsten Thies Registered Nurse 1225 W. Lake St., Melrose Park, IL 60160 2018-09-02
1780195701 Julia Mccann-khludenev Nurse Practitioner 153 1/2 Broadway Ave., Melrose Park, IL 60160 2017-10-17
1629595749 Katarzyna Teresa Buksa Speech-Language Pathologist 906 Walton St., Melrose Park, IL 60160 2017-08-29
1972955102 Erika Lazaro Counselor 1414 Main Street, Melrose Park, IL 60160 2016-07-12
1811344096 Margaret Ann Kress Nurse Practitioner 675 W North Ave Ste 402, Melrose Park, IL 60160 2016-05-18
1942578703 Rachna Shah Md Sc Internal Medicine 675 West North Ave, #310, Melrose Park, IL 60160 2011-12-08
1033486741 Stephanie Lamonica Pharmacist 850 West North Ave, T0837, Melrose Park, IL 60160 2011-11-23
1285913384 Melinda Vazquez Social Worker 1414 Main, Melrose Park, IL 60160 2011-08-08
1629373212 Advanced Wellness Clinics Internal Medicine 1835 N Broadway Avenue, Suite 104, Melrose Park, IL 60160 2011-01-13
1508188525 Guillermo Fernando Mora Family Medicine 1111 W Superior, Suite #306, Melrose Park, IL 60160 2010-02-17
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Taxonomy Information

Taxonomy Code 207RH0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Hematology

Taxonomy Definition

An internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma.
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.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1922430842 James Vincent Jordan Jr. Internal Medicine 3648 Duchess Ct, Downers Grove, IL 60515-1404 2013-08-01
1154579688 Henry Frischer Internal Medicine 213 Donald Ter, Glenview, IL 60025-4715 2008-09-09
1699862706 Jeffrey Sosman Internal Medicine 676 N Saint Clair St Ste 850, Chicago, IL 60611-3124 2006-10-09
1013010487 Celalettin Ustun Internal Medicine 1725 W Harrison St Ste 1010, Chicago, IL 60612 2006-09-07
1164537825 Hau Kwaan Internal Medicine 250 E Superior St Ste 5-2261, Chicago, IL 60611-2914 2006-08-20
1326151796 Helen S Gue Internal Medicine 5053 S Damen Ave, Chicago, IL 60609-4718 2006-08-17
1053342428 Ginny Kamboj Internal Medicine 661 Ridgeview Dr, Mchenry, IL 60050-7012 2006-07-05
1568499770 Robert Mocharnuk Internal Medicine 315 W Carpenter St # 2w106, Springfield, IL 62702-4901 2006-06-26
1801830534 Sami Atassi Internal Medicine 1400 Pin Oak Dr, Carterville, IL 62918-1600 2006-06-15
1023078797 Deepak Malhotra Internal Medicine 1400 Pin Oak Drive, Carterville, IL 62918 2006-03-25
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Competitor

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City MELROSE PARK
Zip Code 60160

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Dataset Information

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.

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