PRIYANKA CHABLANI (NPI# 1780030510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780030510 |
| Entity Type | Individual |
| Full Name | PRIYANKA CHABLANI |
| Credential | M.D. |
| Practice Address |
5841 S. Maryland Ave. Chicago IL 60637-1443 |
| Mailing Address |
180 Harvester Dr Ste 110 Burr Ridge IL 60527-6686 |
| Mailing Telephone | 7737021150 |
| Enumeration Date | 2016-05-11 |
| Last Update Date | 2019-06-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
036149251 | IL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 550 First Ave., Nyu Langone Medical Center, New York, NY 10016 | 2122635506 |
| Street Address |
5841 S. MARYLAND AVE. |
| City | CHICAGO |
| State | IL |
| Zip Code | 60637-1443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508955394 | Kristy Todd | Physician Assistant | 5841 S. Maryland Ave., Mc 5040, Suite E500, Chicago, IL 60637 | 2006-10-12 |
| 1568082188 | Matthew Law | Anesthesiology | 5841 S. Maryland Ave., M/c 4028, Chicago, IL 60637-1443 | 2020-04-23 |
| 1114547254 | Michael Bertenthal | Pediatrics | 5841 S. Maryland Ave., Mc 8016, Chicago, IL 60637-1443 | 2020-04-18 |
| 1568023166 | Carol Yeojin Park | Pediatrics | 5841 S. Maryland Ave., M/c 8016, Chicago, IL 60637 | 2019-06-25 |
| 1427611920 | David Grande | Otolaryngology | 5841 S. Maryland Ave., M/c 1035, Chicago, IL 60637-1443 | 2019-04-19 |
| 1982166971 | Tegan Gomez | Internal Medicine | 5841 S. Maryland Ave., M/c 7082, Chicago, IL 60637-1443 | 2019-04-01 |
| 1932660412 | Mary Elizabeth Acosta | Internal Medicine | 5841 S. Maryland Ave., M/c 7082, Chicago, IL 60637-1443 | 2019-03-27 |
| 1952888059 | Nasya Mendoza-elias | Neurological Surgery | 5841 S. Maryland Ave., M/c 31026, Chicago, IL 60637 | 2018-07-23 |
| 1649795543 | Nabiel Mir | Student in an Organized Health Care Education/Training Program | 5841 S. Maryland Ave., M/c 6098, Chicago, IL 60637-1443 | 2017-08-11 |
| 1356723811 | Victor German Patron Romero | Psychiatry & Neurology | 5841 S. Maryland Ave., M/c 3077, Chicago, IL 60637-1443 | 2015-06-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386263234 | Pooja Ramnani | Pharmacist | 5841 S Maryland Ace, Chicago, IL 60637 | 2020-04-10 |
| 1780220079 | Tara Coleman | Non-emergency Medical Transport (VAN) | 808 E. 63rd Street, Suite 135, Chicago, IL 60637 | 2019-11-21 |
| 1366003501 | Valerie Silas | Case Management | 6330 S King Drive, Chicago, IL 60637 | 2019-06-27 |
| 1205391620 | Derek Joseph Fiedler | Anesthesiology | University of Chicago, 5841 S Maryland Ave, Chicago, IL 60637 | 2019-02-11 |
| 1821573072 | Ugochinyere Ohaja | Registered Nurse | 5656 South Maryland Avenue, Chicago, IL 60637 | 2018-10-03 |
| 1053899138 | Won Hee Oh | Physician Assistant | 5841 S. Maryland Ave., Mc5040, Chicago, IL 60637 | 2018-08-01 |
| 1558854695 | Rasidat Adeduntan | Internal Medicine | 5841 S. Maryland Avenue, [7082], Chicago, IL 60637 | 2018-06-13 |
| 1194235283 | Melissa Ann Arangoa | Registered Nurse | 5841 S. Maryland Ave, Mc 1083, Chicago, IL 60637 | 2017-10-03 |
| 1558880633 | Marni Harris | Optometrist | 5841 S Maryland Ave # S421, Chicago, IL 60637 | 2017-09-11 |
| 1992235105 | Vidya Mahavadi | Pediatrics | 5841 S. Maryland Avenue, Mail Code 8016, Chicago, IL 60637 | 2017-06-20 |
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| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649831124 | Elena Vagia | Internal Medicine | 233 E Superior St Ste 1-061, Chicago, IL 60611-2913 | 2019-06-25 |
| 1023403516 | Meghan Rebecca Steiner | Internal Medicine | 5841 S Maryland Ave # Mc-2115, Chicago, IL 60637 | 2015-04-01 |
| 1700270154 | Joseph Heng | Internal Medicine | 5841 S Maryland Ave # Mc1152, Chicago, IL 60637-1443 | 2015-03-24 |
| 1003258583 | Luis David Sumoza | Internal Medicine | 1900 West Polk Suite 755, Chicago, IL 60612 | 2013-07-24 |
| 1225337017 | Karan Singh Dixit | Internal Medicine | 675 N Saint Clair St Ste 21-110, Chicago, IL 60611-5975 | 2011-03-20 |
| 1801034830 | Jonas Araujo De Souza | Internal Medicine | 5200 S Ellis Ave, Apt 118n, Chicago, IL 60615-4365 | 2009-01-29 |
| 1326211160 | Cara Ann Rosenbaum | Internal Medicine | 5841 S Maryland Ave # Mc2115, Chicago, IL 60637-1447 | 2008-04-11 |
| 1275713307 | John Baxter Watson Md Sc | Internal Medicine | 2900 N Lake Shore Dr # 458, Chicago, IL 60657-5640 | 2007-11-06 |
| 1043499866 | Solomon Adler | Internal Medicine | 2828 W Coyle Ave, Chicago, IL 60645-2922 | 2007-10-29 |
| 1518168202 | Kelley Kozma | Internal Medicine | 2900 N Lake Shore Dr Ste 7e, Chicago, IL 60657-5640 | 2007-05-30 |
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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.