# V BHOOPAL MD,SC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902126030
- **Authorized official:** DR. VASIREDDY BHOOPAL MD (FAMILY PRACTICE)
- **Authorized official phone:** (708) 388-4911

## Contact information

- **Practice address:** 12800 S RIDGELAND AVE, SUITE E, PALOS HEIGHTS, IL 60463-2390
- **Practice address phone:** (708) 388-4911
- **Practice address fax:** (708) 388-4933
- **Mailing address:** 12800 S RIDGELAND AVE, SUITE E, PALOS HEIGHTS, IL 60463-2390
- **Mailing address phone:** (708) 388-4911
- **Mailing address fax:** (708) 388-4933

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 173000000X | Legal Medicine | 036056748 | IL | Yes |

## Other

- **Enumeration date:** 06/11/2010
- **Last updated:** 06/11/2010