Individual provider · Type 1 NPI

Kalyan Tatineny, MD

Diagnostic Radiology Physician · Peoria, IL

NPI number 1265751150 Active

Practice location

530 NE Glen Oak Ave
Peoria, IL 61637-1872

Call (309) 655-2000 Map

Mailing address

111 Oakwood Rd
East Peoria, IL 61611-1853

Other practice locations

  • 5495 S Rainbow Blvd Ste 101, Las Vegas, NV 89118-1872 · (702) 477-0772

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician 2085R0202X14773 (NV)
Diagnostic Radiology Physician 2085R0202X68321 (GA)
Diagnostic Radiology Physician Primary 2085R0202X036-164339 (IL)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1265751150

Kalyan Tatineny, MD's National Provider Identifier is 1265751150, issued on May 18, 2010. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Peoria, IL. The record was last updated on Oct 23, 2023.