DR. SHYAM PUPPALA MD
NPI 1043390099
Psychiatry & Neurology - Neurology in Chicago, IL

Active since October 16, 2006
4755 N KENMORE AVE, CHICAGO, IL 60640(773) 989-9868(773) 989-9824 Get Directions Write a Review

NPPES record last updated: May 27, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Shyam Puppala Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SHYAM PUPPALA MD (NPI 1043390099) is an individual neurology provider in Chicago, Illinois, licensed in Illinois (036073281) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1043390099
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. SHYAM PUPPALACredential: MD
Location Address4755 N KENMORE AVEChicago, IL 60640-5015
Mailing Address8 Red Hill LnSouth Barrington, IL 60010-6188 · (773) 989-9868 · Fax (773) 989-9824
Fax(773) 989-9824
Sole ProprietorYes
Enumeration DateOctober 16, 2006
Last NPPES UpdateMay 27, 2008
NPI 1043390099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in IL · 036073281
Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

4755 N KENMORE AVE, Chicago, IL 60640

Other Identifiers 3

Medicare UPINE18641IL
Medicaid036073281IL
Medicare ID-Type Unspecified211855IL

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
4755 N KENMORE AVE
CHICAGO, IL 60640
Psychiatry & Neurology (Psychiatry)
4755 N KENMORE AVE
CHICAGO, IL 60640
Psychiatry & Neurology (Psychiatry)
4755 N KENMORE AVE
CHICAGO, IL 60640
Counselor (Professional)
4755 N KENMORE AVE
CHICAGO, IL 60640
Psychiatry & Neurology (Psychiatry)
4755 N KENMORE AVE
CHICAGO, IL 60640
Psychiatry & Neurology (Psychiatry)
4755 N KENMORE AVE
CHICAGO, IL 60640
Psychiatry & Neurology (Psychiatry)
4755 N KENMORE AVE
CHICAGO, IL 60640
Psychiatry & Neurology (Neurology)
4755 N KENMORE AVE
CHICAGO, IL 60640

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shyam Puppala's NPI number?

The NPI number for Shyam Puppala is 1043390099. It was assigned to this individual provider in the NPPES registry on October 16, 2006.

Where is Shyam Puppala located?

Shyam Puppala practices at 4755 N Kenmore Ave, Chicago, IL 60640. The listed phone number is (773) 989-9868.

What is Shyam Puppala's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

When was this NPI record last updated?

The NPPES record for Shyam Puppala was last updated on May 27, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.