| Mullapudi Medical Llc | |
|
2s607 Vendome Ave Oak Brook IL 60523-1073 | |
| (630) 926-5409 | |
| Not Available |
| Full Name | Mullapudi Medical Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2s607 Vendome Ave, Oak Brook, Illinois |
| Authorized Official Name and Position | Rajendra P Mullapudi (OWNER) |
| Authorized Official Contact | 6309265409 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mullapudi Medical Llc 2s607 Vendome Ave Oak Brook IL 60523-1073 Ph: (630) 926-5409 | Mullapudi Medical Llc 2s607 Vendome Ave Oak Brook IL 60523-1073 Ph: (630) 926-5409 |
| NPI Number | 1336434687 |
|---|---|
| Provider Enumeration Date | 06/15/2011 |
| Last Update Date | 06/15/2011 |
| Medicare PECOS PAC ID | 5597935205 |
|---|---|
| Medicare Enrollment ID | O20110906000625 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336434687 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036119143 (Illinois) | Primary |
| Provider Name | Rajendra P Mullapudi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679764096 PECOS PAC ID: 7113012030 Enrollment ID: I20071005000745 |
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