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MADHUSUDAN VALLALA M.D., S.C.
NPI 1609177005
Internal Medicine - Cardiovascular Disease in Jacksonville, IL

Active since November 16, 2010
1515 W WALNUT ST, JACKSONVILLE, IL 62650(217) 245-8712(217) 245-1453 Get Directions Write a Review

NPPES record last updated: November 16, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Madhusudan Vallala M.d., S.c. NPPES

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

MADHUSUDAN VALLALA M.D., S.C. (NPI 1609177005) is a healthcare organization registered as a cardiovascular disease in Jacksonville, Illinois and active in the NPI registry since November 2010. The organization lists Sue Vallala, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1609177005
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameMADHUSUDAN VALLALA M.D., S.C.
Location Address1515 W WALNUT STJacksonville, IL 62650-1150
Mailing Address1515 W Walnut StJacksonville, IL 62650-1150 · (217) 245-8712 · Fax (217) 245-1453
Phone(217) 245-8712
Fax(217) 245-1453
Organization SubpartNo
Authorized OfficialSue VallalaOffice Manager · (217) 245-8712
Enumeration DateNovember 16, 2010
✔ NPI 1609177005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in IL · 036053208
Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

1515 W WALNUT ST, Jacksonville, IL 62650
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Other Identifiers 1

Medicare UPINDO9862

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 18

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

DR. ALLEN G GERBERDING M.D.
Family Medicine
1515 W WALNUT ST
JACKSONVILLE, IL 62650
Morgan County (217) 243-6454
DR. STEVEN EDISON SHAW D. C.
Chiropractor
1515 W WALNUT ST
JACKSONVILLE, IL 62650
Morgan County (217) 243-5313
DR. ANTHONY SCROGGINS D.P.M.
Podiatrist
1515 W WALNUT ST, SUITE 3B
JACKSONVILLE, IL 62650
Morgan County (217) 245-4610
DR. ROBERT A KRUEGER D.D.S., M.S.D.
Dentist (Orthodontics and Dentofacial Orthopedics)
1515 W WALNUT ST, #8
JACKSONVILLE, IL 62650
Morgan County (217) 245-6400
DR. RONALD R LYNCH D.M.D
Dentist (General Practice)
1515 W WALNUT ST
JACKSONVILLE, IL 62650
Morgan County (217) 245-1211
DR. THOMAS MICHAEL LOUGHARY D.M.D.
Dentist (General Practice)
1515 W WALNUT ST, BUILDING 10
JACKSONVILLE, IL 62650
Morgan County (217) 243-6489
RONALD R LYNCH DMD LTD
Clinic/Center (Dental)
1515 W WALNUT ST
JACKSONVILLE, IL 62650
Morgan County (217) 245-1211
LYNCH FAMILY DENTISTRY, P.C.
Clinic/Center (Dental)
1515 W WALNUT ST, BUILDING 5
JACKSONVILLE, IL 62650
Morgan County (217) 245-1211

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 Madhusudan Vallala M.D., S.C.'s NPI number?

The NPI number for Madhusudan Vallala M.D., S.C. is 1609177005. It was assigned to this organization in the NPPES registry on November 16, 2010.

Where is Madhusudan Vallala M.D., S.C. located?

Madhusudan Vallala M.D., S.C. is located at 1515 W Walnut St, Jacksonville, IL 62650. The listed phone number is (217) 245-8712.

What is Madhusudan Vallala M.D., S.C.'s specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

When was this NPI record last updated?

The NPPES record for Madhusudan Vallala M.D., S.C. was last updated on November 16, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.