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Contact Information

ANASUYA S BRAHMAMDAM, MD
800 E CARPENTER ST
SPRINGFIELD, IL62769-3723
 Phone: 217-544-6464
 Fax: 217-757-6805
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Hospitalist

208M00000X
Indicates primary specialty

NPI Profile & details for ANASUYA S BRAHMAMDAM · (Female)

NPI Number 1821226390
Status Active
Credentials MD
Entity Individual
Enumeration date 06/23/2009
Last updated 06/25/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036129739
Hospital affiliation(s)
  • JERSEY SHORE UNIVERSITY MEDICAL CENTER - (Acute Care)
    1945 RTE 33
    NEPTUNE, NJ 07754
  • JFK MEDICAL CTR - ANTHONY M. YELENCSICS COMMUNITY - (Acute Care)
    65 JAMES STREET
    EDISON, NJ 08818
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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