Sistla, Phanicharan Aditya

Sistla, Phanicharan Aditya is an individual health care provider with primary practice located at 1100 36Th Ave , Moline IL 61265-7127. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Sistla, Phanicharan Aditya can be contacted via phone (309) 743-6700.

Contact Information

Primary practice address
1100 36Th Ave Moline IL 61265-7127
Phone: (309) 743-6700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD-43414 Iowa
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 255413 Massachusetts
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD-43414 Iowa
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X MD-43414 Iowa
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X MD-43414 Iowa
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 036.155554 Illinois

Profile Details

NPI number 1720427453
LBN Legal business name Sistla, Phanicharan Aditya
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2013
Last updated Oct 20th, 2023 - about 3 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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