Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
THAKSHAKAMANI MADAMALA, MD
ActiveTHAKSHAKAMANI MADAMALA, MD is a Psychiatry healthcare provider located in CRYSTAL LAKE, Illinois. NPI 1588663843 is currently active in the NPPES registry. Verify at CMS.
Psychiatry · CRYSTAL LAKE, IL
Registration Details
- NPI Number
- 1588663843
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 19, 2005 (21.093975285366 yrs)
- Last Updated
- Jul 5, 2012
- License
-
036-085807 (IL)
Practice Information
- Address
-
500 COVENTRY LNSUITE 205CRYSTAL LAKE, IL, 600147579Browse IL providers · Browse ZIP 60014
- Phone
- 8154557100
- Fax
- 8154553951
- Primary Specialty
-
Psychiatry
2084P0800X
Other Psychiatry Providers in CRYSTAL LAKE, IL
| Name | Credential | NPI |
|---|---|---|
| MR. VAMSI K GARLAPATI | MD | 1407855711 |
| ESHWAR GUMIDYALA | MD | 1891794137 |
| VENKATA C JAMPALA | MD | 1235138579 |
| AFTAB POSHNI | MD | 1821097924 |
| CHANDRAGUPTA S VEDAK | MD | 1871592881 |
| DR. EDWIN VERA GUMAPAS | MD | 1033101092 |
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.