Shobha Nookala is a Peoria, Illinois based psychiatrist with 35 years of experience in Child & Adolescent. She completed her graduation in 1989. She may accept the Medicare-approved amount. Patients may be billed for more than the Medicare deductible and coinsurance. Her current practice location is 900 Main St, Suite 400, Peoria. Patients can reach her at 309-672-3100. Shobha Nookala is MD in Child & Adolescent and her NPI number (Unique professional ID assigned by NPPES) is 1154336691. Shobha Nookala has done additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Complete Profile:
Shobha Nookala speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Shobha Nookala
Specialization:
Child & Adolescent
Gender:
Female
Credentials:
MD
Accepts Medicare Assignment:
May Accept
Practice Address:
900 Main St, Suite 400, Peoria, Illinois, 61602-1005
Phone:
309-672-3100
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.
PAC ID:
3072500735
Enrollment ID:
I20040427000105
NPI Number:
1154336691
NPI Enumeration Date:
31 Jul, 2006
NPI Last Update On:
08 Jul, 2007
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Shobha Nookala is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Methodist Medical Center Of Illinois (1355259714)
235
Other Medical Identifiers:
Other legacy medical identifiers associated with Shobha Nookala such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
088318
Other
Illinois
HEALTH ALLIANCE
472292
Other
Illinois
HEALTHLINK
7215059
Other
Illinois
BCBS PPO
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.