National Provider Identifier Database

SHYAM KIRAN GANDAM VENKATA, MD – NPI #1629332754
Critical Care Medicine

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.


Contact Information

SHYAM KIRAN GANDAM VENKATA, MD
701 N 1ST ST
SPRINGFIELD, IL62781-2604
Phone: 217-528-7541
Fax: 217-606-3057
Website:
Specialty Taxonomy Code
* Critical Care Medicine 207RC0200X

* Indicates primary specialty

NPI Profile & details for SHYAM KIRAN GANDAM VENKATA

NPI Number 1629332754
Credentials MD
Entity Individual
Enumeration date 07/03/2012
Last updated 07/14/2025 - About 11 months ago
Sole proprietor1 Yes
Identifiers
  • IL License #: 036143316
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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