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1255524419 NPI number — NIKHIL REDDY KALVA M.D

NPI Number: 1255524419
Health Care Provider/Practitioner: NIKHIL REDDY KALVA M.D

Information about “1255524419” NPI (NIKHIL REDDY KALVA M.D) exists in 1255524419 in HTML format HTML  |  1255524419 in plain Text format TXT  |  1255524419 in PDF (Portable Document Format) PDF  |  1255524419 in an XML format XML  formats.

NPI Number : 1255524419 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1255524419",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "KALVA",
    "FirstName": "NIKHIL",
    "MiddleName": "REDDY",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "M.D",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "5105 N GLEN PARK PLACE RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PEORIA",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "61614-4675",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "309-308-5900",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "OSF SAINT FRANCIS MEDICAL CENTER",
    "SecondLinePracticeLocationAddress": "DEPARTMENT OF INTERNAL MEDICINE",
    "PracticeLocationAddressCityName": "PEORIA",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "61637-0001",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "309-655-6931",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/21/2007",
    "LastUpdateDate": "05/25/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207RG0100X",
        "TaxonomyName": "Gastroenterology Physician",
        "LicenseNumber": "036125322",
        "LicenseNumberStateCode": "IL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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