PAVAN VABILISETTI MURTY (NPI# 1710249503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710249503 |
| Entity Type | Individual |
| Full Name | PAVAN VABILISETTI MURTY |
| Credential | MD |
| Practice Address |
1875 Dempster St Ste 625 Park Ridge IL 60068-1137 |
| Practice Telephone | 8477234088 |
| Practice Fax Number | 8476278700 |
| Mailing Telephone | 8477234088 |
| Mailing Fax Number | 8476278700 |
| Enumeration Date | 2012-06-08 |
| Last Update Date | 2018-01-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
036.142841 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
1875 DEMPSTER ST STE 625 |
| City | PARK RIDGE |
| State | IL |
| Zip Code | 60068-1137 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942241302 | Smriti N Wagle | Psychiatry & Neurology | 1875 Dempster St Ste 625, Park Ridge, IL 60068-1137 | 2006-06-09 |
| 1477786598 | Fawaz Ahmad | Internal Medicine | 1875 Dempster St Ste 625, Park Ridge, IL 60068-1137 | 2009-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861010720 | Caitlin Marie Kompanowski | Dentist | 412 W. Talcott, Park Ridge, IL 60068 | 2020-07-08 |
| 1972142198 | Center for Authentic Living, Inc. | Counselor | 120 Main Street Suite 200, Park Ridge, IL 60068 | 2020-01-06 |
| 1306312152 | Maryann Almores Devilla | Physical Medicine & Rehabilitation | Sunrise Assisted Living, 1725 Ballard Road, Park Ridge, IL 60068 | 2018-10-19 |
| 1053808857 | Landon Ginsberg | Student in an Organized Health Care Education/Training Program | 1775 Ballard, Park Ridge, IL 60068 | 2018-04-17 |
| 1255828448 | Vera W Brink | Obstetrics & Gynecology | Parkside Professional Center, 1875 Dempster St., Ste. 330, Park Ridge, IL 60068 | 2018-04-13 |
| 1205367448 | Courtney Heim | Psychiatry & Neurology | 1875 W.dempster Street - Park Side Professional Center, Ste 470, Park Ridge, IL 60068 | 2017-03-21 |
| 1720521362 | Alexander Mylonas | Psychologist | 1400 Renaissance Dr Ste 401, Park Ridge, IL 60068 | 2016-11-30 |
| 1376090878 | Rebecca Rajasekhar | Audiologist | 1030 W. Higgins Rd., Audiology Room 6, Park Ridge, IL 60068 | 2016-09-01 |
| 1164818449 | Mohammad Taha Mustaf Taha Mustafa Sheikh | Student in an Organized Health Care Education/Training Program | 1550 North Northwest Highway Suite 107, L.m. Prasad, Md, Sc, Park Ridge, IL 60068 | 2015-04-13 |
| 1518397918 | Megan Roberts | Speech-Language Pathologist | 2240 Campus Dr., Evanston, IL 60068 | 2013-11-21 |
| Find all providers in zip 60068 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942241302 | Smriti N Wagle | Psychiatry & Neurology | 1875 Dempster St Ste 625, Park Ridge, IL 60068-1137 | 2006-06-09 |
| 1114360005 | Syema Sheikh | Psychiatry & Neurology | 1775 Ballard Rd, Park Ridge, IL 60068-1005 | 2013-04-10 |
| 1962667808 | Heather E Leeper | Psychiatry & Neurology | 1700 Luther Ln, Ste 1110, Park Ridge, IL 60068-1270 | 2008-07-21 |
| 1578787537 | David P. Calimag Md Sc | Psychiatry & Neurology | 1600 Dempster St, Suite Ll3, Park Ridge, IL 60068-1109 | 2007-04-12 |
| 1164530804 | Darren Ross Gitelman | Psychiatry & Neurology | 1875 Dempster St, Suite 550, Park Ridge, IL 60068-1186 | 2006-08-25 |
| 1811933757 | Timothy John Mikesell | Psychiatry & Neurology | 1775 Ballard Rd, Park Ridge, IL 60068-1005 | 2006-06-21 |
| 1982659413 | William Davison | Psychiatry & Neurology | 444 N Northwest Hwy, Ste 200, Park Ridge, IL 60068-3263 | 2006-05-23 |
| 1194779082 | Ian S Katznelson | Psychiatry & Neurology | 444 N Northwest Hwy, Ste 200, Park Ridge, IL 60068-3263 | 2006-05-22 |
| 1164475737 | Diagnostic Neurology, Ltd | Psychiatry & Neurology | 444 N Northwest Hwy, Ste 200, Park Ridge, IL 60068-3263 | 2006-05-17 |
| 1447231154 | David P Calimag | Psychiatry & Neurology | 1600 W Dempster St, Park Ridge, IL 60068-1109 | 2005-11-09 |
| Find all providers in PARK RIDGE | ||||
| City | PARK RIDGE |
| Zip Code | 60068 |
Please comment or provide details below to improve the information on PAVAN VABILISETTI MURTY.
| 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.