Provider Demographics
NPI:1861421869
Name:CULLATH HARIKRISHNAN, SATHISH KUMAR (MD,)
Entity type:Individual
Prefix:
First Name:SATHISH KUMAR
Middle Name:
Last Name:CULLATH HARIKRISHNAN
Suffix:
Gender:M
Credentials:MD,
Other - Prefix:
Other - First Name:SATHISHKUMAR
Other - Middle Name:HARIKRISHNAN
Other - Last Name:CULLATH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD,
Mailing Address - Street 1:921 KINGS CANYON DR
Mailing Address - Street 2:
Mailing Address - City:STREAMWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60107-4510
Mailing Address - Country:US
Mailing Address - Phone:312-404-9818
Mailing Address - Fax:
Practice Address - Street 1:921 KINGS CANYON DR
Practice Address - Street 2:
Practice Address - City:STREAMWOOD
Practice Address - State:IL
Practice Address - Zip Code:60107-4510
Practice Address - Country:US
Practice Address - Phone:312-404-9818
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-02
Last Update Date:2015-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH87710207R00000X
IL336.081335208M00000X
WI58348208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine