Sreenivasappa, Shylendra B

Sreenivasappa, Shylendra B is an individual health care provider with primary practice located at 5666 East State Street , Rockford IL 61108-2425. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Medical Oncology, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Medical Oncology is his primary health care specialty. Sreenivasappa, Shylendra B can be contacted via phone (815) 226-2000.

Contact Information

Primary practice address
5666 East State Street Rockford IL 61108-2425
Phone: (815) 226-2000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 36117669 Illinois
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036-117669 Illinois
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 036117669 Illinois
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 036-117669 Illinois

Profile Details

NPI number 1972706604
LBN Legal business name Sreenivasappa, Shylendra B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2007
Last updated Jan 18th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1972706604 NPPES
Illinois MEDICAID 036117669

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