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SUPARNA KOHLI MD
NPI 1629277801
Internal Medicine in Decatur, IL

Active since July 17, 2007
2300 N EDWARD ST, INTERNAL MEDICINE, DECATUR, IL 62526(217) 876-4360(217) 876-4365 Get Directions Write a Review

NPPES record last updated: March 25, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Suparna Kohli Md NPPES

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

SUPARNA KOHLI MD (NPI 1629277801) is an individual internal medicine provider in Decatur, Illinois, licensed in Illinois (036123811) and active in the NPI registry since July 2007.

NPPES Registry Identity

NPI1629277801
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSUPARNA KOHLICredential: MD
Location Address2300 N EDWARD ST, INTERNAL MEDICINEDecatur, IL 62526-4163
Mailing Address2300 N Edward St, Internal MedicineDecatur, IL 62526-4163 · (217) 876-4360 · Fax (217) 876-4365
Phone(217) 876-4360
Fax(217) 876-4365
Sole ProprietorYes
Enumeration DateJuly 17, 2007
Last NPPES UpdateMarch 25, 2011
✔ NPI 1629277801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IL · 036123811
Definition
A 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.
2300 N EDWARD ST, Decatur, IL 62526
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Other Identifiers 1

Medicare PINIL2868038IL

Other Providers at the Same Location NPPES 20

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

CULLEN WHICKER CRNA
Nurse Anesthetist, Certified Registered
2300 N EDWARD ST
DECATUR, IL 62526
Macon County (217) 876-2575
MR. JASON GRAUER APRN
Nurse Practitioner (Family)
2300 N EDWARD ST
DECATUR, IL 62526
Macon County (217) 876-8121
DR. JEFFREY MARC BOORSTEIN MD
Radiology (Diagnostic Radiology)
2300 N EDWARD ST
DECATUR, IL 62526
Macon County (217) 876-2300
PAUL GURLEY PA-C
Physician Assistant
2300 N EDWARD ST
DECATUR, IL 62526
Macon County (217) 876-3000
CHRISTINE W CUTLER MS RD LD/N
Dietitian, Registered
2300 N EDWARD ST
DECATUR, IL 62526
Macon County (217) 876-2281
JACLYN NICOLE KLEMAN
Physical Therapist
2300 N EDWARD ST
DECATUR, IL 62526
Macon County (217) 876-2600
BRITTNEY L JEFFERY CRNA
Nurse Anesthetist, Certified Registered
2300 N EDWARD ST
DECATUR, IL 62526
Macon County (217) 876-2275
DR. DAVID JOSEPH EVELTI MD
Anesthesiology
2300 N EDWARD ST
DECATUR, IL 62526
Macon County (217) 876-8121

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 Suparna Kohli's NPI number?

The NPI number for Suparna Kohli is 1629277801. It was assigned to this individual provider in the NPPES registry on July 17, 2007.

Where is Suparna Kohli located?

Suparna Kohli practices at 2300 N Edward St Internal Medicine, Decatur, IL 62526. The listed phone number is (217) 876-4360.

What is Suparna Kohli's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Suparna Kohli was last updated on March 25, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.