Individual
NANJAPPA C. SOMANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
927 BROADWAY ST, QUINCY, IL 62301-2719
(217) 224-6423
(217) 223-9045
Mailing address
927 BROADWAY ST, SUITE 204, QUINCY, IL 62301-2719
(217) 224-6423
(217) 223-9045
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036-114910
IL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
036-114910
IL
207RP1001X
Pulmonary Disease Physician
Primary
036-114910
IL
207RS0012X
Sleep Medicine (Internal Medicine) Physician
036.114910
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036114910
—
IL
Enumeration date
07/29/2006
Last updated
11/27/2023
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