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Individual
VINODA SHANTHAPPA
Active
Individual
VINODA SHANTHAPPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
36114697
IL
208M00000X
Hospitalist Physician
036114697
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036114697
IL LICENSE
IL
05
—
3711361916002
—
IL
Enumeration date
07/19/2006
Last updated
09/17/2009
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