Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Eliyazar Gaddam, MD

Individual provider Cardiovascular Disease Physician · NPI 1073561858

Dr. Eliyazar Gaddam, MD is a Cardiovascular Disease (Cardiology) in Lima, Ohio. Qualified in 1986, 40 years ago. Practices as a sole proprietor, works from 3 locations and accepts Medicare assignment. Licensed in Illinois and Ohio.

Years since qualifying
40
Licensed in
IL, OH
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

951 Commerce Pkwy Ste 100
Lima, OH 45804-4040
Phone: (419) 224-5915
Fax: (419) 224-5918
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2350 N Rockton Ave, Rockford, IL 61103-3600 — (815) 971-2200
  • 8201 E Riverside Blvd, Rockford, IL 61114-2300 — (815) 971-2200

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 35.127156 (OH)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 036083544 (IL)

Record details

NPI number1073561858
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 4, 2006
Last updated in NPPESAugust 28, 2020
Certification dateAugust 28, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1986 (40 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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