Provider Demographics
NPI:1629375589
Name:SURESH V.SHINGALA MD LTD
Entity Type:Organization
Organization Name:SURESH V.SHINGALA MD LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SURESH
Authorized Official - Middle Name:V
Authorized Official - Last Name:SHINGALA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:1773-784-8500
Mailing Address - Street 1:5015 N PAULINA ST
Mailing Address - Street 2:214
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60640-2756
Mailing Address - Country:US
Mailing Address - Phone:773-784-8500
Mailing Address - Fax:773-989-5412
Practice Address - Street 1:5015 N PAULINA ST
Practice Address - Street 2:214
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60640-2756
Practice Address - Country:US
Practice Address - Phone:773-784-8500
Practice Address - Fax:773-989-5412
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-11
Last Update Date:2011-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty