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Individual
SANDHYA NAGUBADI
Active
Individual
SANDHYA NAGUBADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036-111326
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01622760
BLUE SHIELD NUMBER
IL
05
—
036111326
—
IL
01
—
36-4295605
TAX IDENTIFICATION NUMBER
IL
Enumeration date
05/16/2006
Last updated
12/29/2021
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