Individual provider · Type 1 NPI

Surya Theja Polavarapu, MD

Family Medicine Physician · Quincy, IL

NPI number 1780242776 Active

Practice location

326 N 24th St
Quincy, IL 62301-3140

Fax (217) 214-6299

Mailing address

1005 Broadway St
Quincy, IL 62301-2834

Other practice locations

  • 612 N 11th St, Quincy, IL 62301-2662 · (217) 224-9484

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000X125-074374 (IL)
Family Medicine Physician Primary 207Q00000X036161586 (IL)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

8 other providers at this address

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About NPI 1780242776

Surya Theja Polavarapu, MD's National Provider Identifier is 1780242776, issued on Jun 4, 2019. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Quincy, IL. The record was last updated on Sep 24, 2026.