Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
VIVEK THAPPA, MD
Active Sole ProprietorVIVEK THAPPA, MD is a Sports Medicine (IM) healthcare provider located in ROCKFORD, Illinois. NPI 1295743383 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (IM) · ROCKFORD, IL
Registration Details
- NPI Number
- 1295743383
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 4, 2006 (20.066202460059 yrs)
- Last Updated
- Feb 19, 2021
- Licenses
-
036081657 (IL)036081657 (IL)036081657 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1401 E STATE STROCKFORD, IL, 61104Browse IL providers · Browse ZIP 61104
- Phone
- 7796966102
- Fax
- 7796966026
- Primary Specialty
-
Sports Medicine (IM)
207RS0012X
- Additional Specialty
- Critical Care Medicine
- Additional Specialty
- Pulmonary Disease
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.