Gorukanti, Srecharan Shiva

Gorukanti, Srecharan Shiva is an individual health care provider with primary practice located at 4400 W 95Th St Ste 306 , Oak Lawn IL 60453-2659. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Gorukanti, Srecharan Shiva can be contacted via phone (708) 684-5428.

Contact Information

Primary practice address
4400 W 95Th St Ste 306 Oak Lawn IL 60453-2659
Phone: (708) 684-5428
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 61158152 Washington
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 036-171652 Illinois

Profile Details

NPI number 1396373502
LBN Legal business name Gorukanti, Srecharan Shiva
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 1st, 2020
Last updated Nov 5th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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