Thappa, Vivek
Thappa, Vivek is an sole proprietor health care provider with primary practice located at 1401 E State St , Rockford IL 61104. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Sleep Medicine is his primary health care specialty. Thappa, Vivek can be contacted via phone (779) 696-6102.Contact Information
Primary practice address
1401 E State St
Rockford IL 61104
Phone: (779) 696-6102
Fax: (779) 696-6026
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sleep Medicine | 207RS0012X | 036081657 | Illinois |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 036081657 | Illinois |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 036081657 | Illinois |
Profile Details
| NPI number | 1295743383 |
|---|---|
| LBN Legal business name | Thappa, Vivek |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 4th, 2006 |
| Last updated | Feb 19th, 2021 - about 5 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 | 1295743383 | NPPES |
| Illinois | MEDICAID | 036081657 | |
| Illinois | Other | 101-04711 |
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