SHYAM M PUPPALA MDSC
NPI 1588802490
Psychiatry & Neurology - Neurology in Chicago, IL

Q: What is Shyam M Puppala Mdsc's NPI number?

The NPI number for Shyam M Puppala Mdsc is 1588802490. It was assigned to this organization in the NPPES registry on January 30, 2009.

Q: What is Shyam M Puppala Mdsc's specialty?

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

Active since January 30, 2009

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

NPPES record last updated: January 30, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Shyam M Puppala Mdsc NPPES

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

SHYAM M PUPPALA MDSC (NPI 1588802490) is a healthcare organization registered as a neurology in Chicago, Illinois and active in the NPI registry since January 2009. The organization lists Shyam M Puppala, Psychiatrist, as its authorized official.

NPPES Registry Identity

NPI1588802490

Entity TypeOrganization

Primary Taxonomy2084N0400X

Legal Business NameSHYAM M PUPPALA MDSC

Location Address4755 N KENMORE AVEChicago, IL 60640-5015

Mailing Address8 Red Hill LnSouth Barrington, IL 60010-6188 · (773) 989-9868 · Fax (773) 989-9824

Phone(773) 989-9868

Fax(773) 989-9824

Organization SubpartNo

Authorized OfficialShyam M PuppalaPsychiatrist · (773) 989-9868

Enumeration DateJanuary 30, 2009

✔ NPI 1588802490 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

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Other Identifiers 2

Medicare PIN211855IL

Medicare UPINE18641IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

DR. SHYAM PUPPALA MD

Psychiatry & Neurology (Neurology)