Bertram H Nanayakkara
MD FAAP | Pediatrics | Male
Bertram H Nanayakkara, MD FAAP is a Rockford, Illinois based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Bertram H Nanayakkara is
5695 Strathmoor Dr, Suite 3, Rockford, Illinois - 61107-5192. He can be contacted on phone at
779-696-1150 and fax number 815-397-0043.
Bertram H Nanayakkara is a sole proprietor of his business.
NPI number (Unique professional ID) for Bertram H Nanayakkara is
1437150570 which was assigned by NPPES on 10 Aug, 2005 and it was last updated on 19 Sep, 2016.
Bertram H Nanayakkara license number is
036-067957 for Pediatrics (208000000X) in Illinois.
Bertram H Nanayakkara is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Bertram H Nanayakkara basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Bertram H Nanayakkara |
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| Credential : | MD FAAP |
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| Gender : | Male |
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Business Address:
Bertram H Nanayakkara address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 5695 Strathmoor Dr, Suite 3
Rockford, IL, 61107-5192
United States |
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| Phone Number : | 779-696-1150 |
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| Fax Number : | 815-397-0043 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1437150570 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 10 Aug, 2005 |
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| Last Updated On : | 19 Sep, 2016 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Bertram H Nanayakkara are as mentioned. Primary taxonomy code for Bertram H Nanayakkara, MD FAAP is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 036-067957 | IL |
Legacy Identifiers:
Other legacy medical identifiers of Bertram H Nanayakkara such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 036067957 | MEDICAID | IL | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 1567
Rockford, IL, 61110-0067
United States |
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| Phone Number : | 779-696-7150 |
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Business Location:
Patients can refer following map for directions to
Bertram H Nanayakkara practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.