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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. SHYAM KIRAN GANDAM VENKATA, MD

Active Sole Proprietor

DR. SHYAM KIRAN GANDAM VENKATA, MD is a Critical Care Medicine healthcare provider located in SPRINGFIELD, Illinois. NPI 1629332754 is currently active in the NPPES registry. Verify at CMS.

Critical Care Medicine · SPRINGFIELD, IL

Registration Details

NPI Number
1629332754
Provider Type
Individual
Gender
Male
NPI Issued
Jul 3, 2012 (14.151515145794 yrs)
Last Updated
Jul 14, 2025
License
036143316 (IL)
Sole Proprietor
Yes

Practice Information

Address
701 N 1ST ST
SPRINGFIELD, IL, 627812604
Browse IL providers · Browse ZIP 62781
Phone
2175287541
Fax
2176063057
Primary Specialty
Critical Care Medicine
207RC0200X

Other Critical Care Medicine Providers in SPRINGFIELD, IL

Name Credential NPI
DR. DONALD G GUMPRECHT M.D. 1558311126
MARY PEREIRA WOOD M.D. 1831393602
TRUPESH CHANPURA MD 1760642151
DR. MARYAM SHEIKH D.O. 1487819827
MEHDI SHAHIDI MD 1538398508
DR. PANKAJ GOYAL MD 1144549718
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.