Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SAMYUKTA KOPPULA, M.D.
Active Sole ProprietorSAMYUKTA KOPPULA, M.D. is a Allergy & Immunology healthcare provider located in WILLOWBROOK, Illinois. NPI 1770641763 is currently active in the NPPES registry. Verify at CMS.
Allergy & Immunology · WILLOWBROOK, IL
Registration Details
- NPI Number
- 1770641763
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 4, 2006 (19.505266886088 yrs)
- Last Updated
- Sep 30, 2013
- License
-
00303660782441 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6857 KINGERY HWYWILLOWBROOK, IL, 605275114Browse IL providers · Browse ZIP 60527
- Phone
- 6303238800
- Fax
- 6308509797
- Primary Specialty
-
Allergy & Immunology
207K00000X
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.