Poruri, Kalyana
Poruri, Kalyana is an individual health care provider with primary practice located at 300 Randall Rd , Geneva IL 60134-4200. He recently has 8 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Pediatric Radiology, Allopathic & Osteopathic Physicians / Radiation Oncology, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Therapeutic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Poruri, Kalyana can be contacted via phone (630) 208-3000.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Body Imaging | 2085B0100X | 036104591 | Illinois |
| Allopathic & Osteopathic Physicians / Nuclear Radiology | 2085N0904X | 036104591 | Illinois |
| Allopathic & Osteopathic Physicians / Pediatric Radiology | 2085P0229X | 036104591 | Illinois |
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | 036104591 | Illinois |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 036104591 | Illinois |
| Allopathic & Osteopathic Physicians / Therapeutic Radiology | 2085R0203X | 036104591 | Illinois |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 036104591 | Illinois |
| Allopathic & Osteopathic Physicians / Diagnostic Ultrasound | 2085U0001X | 036104591 | Illinois |
Profile Details
| NPI number | 1548365026 |
|---|---|
| LBN Legal business name | Poruri, Kalyana |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 13th, 2006 |
| Last updated | Feb 28th, 2012 - about 13 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 | 1548365026 | NPPES |
| Illinois | Other | 04515240 | BLUE CROSS PROVIDER ID |
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