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Individual
NAGENDRA POLAVARAPU
Active
Individual
NAGENDRA POLAVARAPU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036-119683
IL
2080P0203X
Pediatric Critical Care Medicine Physician
036119683
IL
2080P0203X
Pediatric Critical Care Medicine Physician
38700
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036119683
—
IL
Enumeration date
02/01/2007
Last updated
02/20/2023
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