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Individual
RADHA KRISHNA UPPUTURI
Active
Individual
RADHA KRISHNA UPPUTURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036-115736
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
206147
MEDICARE PTAN GROUP
IL
01
—
F400228127
MEDICARE PTAN INDIVIDUAL
IL
Enumeration date
07/21/2006
Last updated
12/21/2021
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