DR. SUJATHA GOVINDAIAH MD
NPI 1649268053
Specialist in East Moline, IL

Q: What is Sujatha Govindaiah's NPI number?

The NPI number for Sujatha Govindaiah is 1649268053. It was assigned to this individual provider in the NPPES registry on October 10, 2005.

Q: What is Sujatha Govindaiah's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since October 10, 2005

4360 KENNEDY DR, SUITE 3, EAST MOLINE, IL 61244(309) 796-1512(309) 796-1887 Get Directions Write a Review

NPPES record last updated: April 6, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Sujatha Govindaiah Md NPPES

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

DR. SUJATHA GOVINDAIAH MD (NPI 1649268053) is an individual specialist in East Moline, Illinois, licensed in Illinois (036060186) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1649268053

Entity TypeIndividualFemale

Primary Taxonomy174400000X

Provider Legal NameDR. SUJATHA GOVINDAIAHCredential: MD

Location Address4360 KENNEDY DR, SUITE 3East Moline, IL 61244-4251

Mailing Address4360 Kennedy Dr, Suite 3East Moline, IL 61244-4251 · (309) 796-1512 · Fax (309) 796-1887

Phone(309) 796-1512

Fax(309) 796-1887

Sole ProprietorNo

Enumeration DateOctober 10, 2005

Last NPPES UpdateApril 6, 2009

✔ NPI 1649268053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in IL · 036060186

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

4360 KENNEDY DR, East Moline, IL 61244

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Other Identifiers 3

Medicaid036060186IL

Medicare ID-Type Unspecified654730

Medicare UPIND93832

Other Providers at the Same Location NPPES 3

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

GENESIS HEALTH SYSTEM

Pediatrics

4360 KENNEDY DR
EAST MOLINE, IL 61244

Rock Island County (309) 796-0991

DR. NANCY J SHORT MD

Family Medicine

4360 KENNEDY DR, SUITE 1
EAST MOLINE, IL 61244

Rock Island County (309) 743-7313

NANCY J SHORT MD LLC

Family Medicine

4360 KENNEDY DR, SUITE 1
EAST MOLINE, IL 61244

Rock Island County (309) 792-6090

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 Sujatha Govindaiah's NPI number?

The NPI number for Sujatha Govindaiah is 1649268053. It was assigned to this individual provider in the NPPES registry on October 10, 2005.

Where is Sujatha Govindaiah located?

Sujatha Govindaiah practices at 4360 Kennedy Dr Suite 3, East Moline, IL 61244. The listed phone number is (309) 796-1512.

What is Sujatha Govindaiah's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Sujatha Govindaiah was last updated on April 6, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.