NPI Database
Lookup NPI Numbers from the NPI Registry

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 Specialty Code Provider Type

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for SHYAM KIRAN GANDAM VENKATA · (Male)

NPI Number 1629332754
Status Active
Credentials MD
Entity Individual
Enumeration date 07/03/2012
Last updated 07/14/2025 - About 11 months ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 036143316
Hospital affiliation(s)
  • MEMORIAL MEDICAL CENTER - (Acute Care)
    701 N FIRST ST
    SPRINGFIELD, IL 62781
  • ST ANTHONYS MEMORIAL HOSPITAL - (Acute Care)
    503 N MAPLE STREET
    EFFINGHAM, IL 62401
  • ST JOHNS HOSPITAL - (Acute Care)
    800 E CARPENTER ST
    SPRINGFIELD, IL 62769
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.

Reviews for SHYAM KIRAN GANDAM VENKATA

Thanks - Your review has been submitted! Please note that if we find that this review has violated our terms or is simply deemed unacceptable, we will remove it without notice.

There are currently no reviews for SHYAM KIRAN GANDAM VENKATA
Be the first to post a comment or review.


Read our reviews / comments about this provider to help you decide if they are right for you. Share your experience by posting a comment or review about this provider to help others decide which is right for them.

Nearby Doctors & Physicians
AMIT BHANDARI, MD
800 E CARPENTER ST
SPRINGFIELD, IL
GAURAV SANGWAN, MD
1025 S 6TH ST
SPRINGFIELD, IL
MARK A STERN, MD
800 N. 1ST STREET
SPRINGFIELD, IL
MOHAMED R LABEDI, MD
747 N RUTLEDGE ST
SPRINGFIELD, IL
MICHAL KOLDA, MD
800 N 1ST ST
SPRINGFIELD, IL
KATHLEEN M BOTTUM, MD
751 N RUTLEDGE ST STE 1700
SPRINGFIELD, IL
TORNIKE JASHI, MD
751 N. RUTLEDGE
SPRINGFIELD, IL
SUZAN AL GHARAIBEH, MD
751 N RUTLEDGE ST
SPRINGFIELD, IL
KYUNGSUK JUNG, MD MPH
315 W CARPENTER ST
SPRINGFIELD, IL
MARINA K RUSSO, MD
1118 LEGACY POINTE DR
SPRINGFIELD, IL

  View all Doctors & Physicians
v2.403