VAMSI KIRAN KODUMURI NPI 1003009358

Internal Medicine in Oak Park, IL

About VAMSI KODUMURI

Vamsi Kodumuri is a provider in Oak Park, IL with more than 15 years of experience. The NPI number assigned to this provider is 1003009358. The practitioner's primary taxonomy code is Internal Medicine (207R00000X). The provider is registered as an individual and their NPI record was last updated 10 years ago. Vamsi Kodumuri is registered with Medicare and accepts claims assignment.

NPI1003009358 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Name VAMSI KIRAN KODUMURI
Provider Location Address930 NORTH BLVD APT 608 OAK PARK, IL 60301 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address930 NORTH BLVD APT 608 OAK PARK, IL 60301 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderMale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Medical School NameOTHER
Graduation Year2003
Is Sole Proprietor?No
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date08-21-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date08-21-2007 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

VAMSI KIRAN KODUMURI
930 NORTH BLVD
APT 608
OAK PARK, IL
ZIP 60301
Phone: (708) 228-8681
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Mailing Address

VAMSI KIRAN KODUMURI
930 NORTH BLVD
APT 608
OAK PARK, IL
ZIP 60301
Phone: (708) 228-8681

Primary Taxonomy

Taxonomy Code207R00000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
License StateIL
Taxonomy DescriptionA physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Map Location


VAMSI KIRAN KODUMURI address is 930 NORTH BLVD APT 608 OAK PARK, IL 60301