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Search › Illinois › 207RC0200X

Shyam Kiran Gandam Venkata, MD

NPI 1629332754 · on the registry since 2012 · sole proprietor

Practice

Address
701 N 1st St
Springfield, IL 62781
Phone
(217) 528-7541
Fax
(217) 606-3057
Organisation at this address
Memorial Home Services
Memorial Home Services
Memorial Medical Center
Memorial Medical Center
Memorial Medical Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
449

Additional practice sites

  • 600 E 233rd St, Bronx, NY

Registry record

Primary taxonomy
207RC0200X
207RC0200X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-07-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois