Polasani, Venugopal
Polasani, Venugopal is an individual health care provider with primary practice located at 1400 W Park St , Urbana IL 61801-2334. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Polasani, Venugopal can be contacted via phone (217) 337-2000.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | Illinois |
Profile Details
| NPI number | 1083786917 |
|---|---|
| LBN Legal business name | Polasani, Venugopal |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 15th, 2006 |
| Last updated | Oct 18th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083786917 | NPPES |
| Illinois | Other | P00051600 | RR MEDICARE |
| Illinois | MEDICAID | 36056262 | RR MEDICARE |
| Illinois | Other | 1032044 | RR MEDICARE |
| Illinois | Other | DA5283 | RR MEDICARE |
Popular Providers
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Wozniak, Michael F
611 W. Park St. Anesthesiology, Urbana IL 61801 -
Hickman, Jennifer Ann
611 W. Park St. , Urbana IL 61801-2500 -
Springer, Sonia G
611 W. Park St. Anesthesiology, Urbana IL 61801 -
Carroll, Michael
602 W University Ave , Urbana IL 61801-2530 -
Radden, Homer G
611 W. Park St. , Urbana IL 61801-2500 -
Schlake, Peter
1400 W Park St , Urbana IL 61801-2334 -
Paul, Satnam
1400 W Park St , Urbana IL 61801-2334 -
Burnham, Raymond L
602 W. University Avenue Anesthesiology, Urbana IL 61801