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Nasaraiah Nallamothu, MD
Cardiovascular Disease Physician in Springfield, Illinois
NPI 1427130426

Nasaraiah Nallamothu is a Cardiovascular Disease Physician based in Springfield, IL and is specialized in Cardiovascular Disease. Nasaraiah Nallamothu practices in Springfield, IL and has the professional credentials of MD. The NPI Number for Nasaraiah Nallamothu is 1427130426 and holds a License No. 036-095726 (Illinois).

The current practice location address for Nasaraiah Nallamothu is 619 E Mason St Ste 4P57, Springfield, IL and can be reached out via phone at 217-788-0706 and via fax at 217-525-2535.

Location: 619 E Mason St Ste 4P57, Springfield, IL, 62701-1034
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1427130426
Provider Name
Nasaraiah Nallamothu
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
619 E Mason St Ste 4P57, Springfield, IL, 62701-1034
Phone Number
217-788-0706
Fax Number
217-525-2535
Provider Enumeration Date
10/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036095726 05 IL
060041893 01 IL RAILROAD
institution
Provider Business Practice Location Address Details
Address
619 E Mason St Ste 4P57
City
Springfield
State
Illinois
Zip
62701-1034
Phone Number
217-788-0706
Fax Number
217-525-2535
person
Provider Business Mailing Address Details
Address
619 E Mason St Ste 4P57
City
Springfield
State
Illinois
Zip
62701-1034
Phone Number
217-788-0706
Fax Number
217-525-2535
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
036095726 (Illinois)
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.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Advanced Heart Failure and Transplant Cardiology
Taxonomy
207RA0001X
License No.
036-095726 (Illinois)
Definition
Specialists in Advanced Heart Failure and Transplant Cardiology would participate in the inpatient and outpatient management of patients with advanced heart failure across the spectrum from consideration for high-risk cardiac surgery, cardiac transplantation, or mechanical circulatory support, to pre-and post-operative evaluation and management of patients with cardiac transplants and mechanical support devices, and end-of-life care for patients with end-stage heart failure.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Cardiovascular Disease
Taxonomy
207RC0000X
License No.
036-095726 (Illinois)
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.
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