DR. Phanicharan Aditya Sistla, M.D.

NPI #1720427453 in Moline, Illinois

Provider Information

NPI Number: 1720427453
Entity Type: Individual
Name: DR. Phanicharan Aditya Sistla, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: M.D.
Enumeration Date: Jun 15, 2013
Last Updated: Oct 20, 2023

Practice Location

Address: 1100 36TH AVE
City: Moline
State: Illinois
ZIP Code: 61265-7127
Phone: (309) 743-6700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary
Internal Medicine - Cardiovascular Disease — Cardiovascular Disease	207RC0000X
Internal Medicine - Interventional Cardiology — Interventional Cardiology	207RI0011X
Hospitalist	208M00000X

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