Individual
SANTHOSH GADDIKERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.B.B.S.
Contact information
Practice address
1653 W CONGRESS PKWY, CHICAGO, IL 60612-3833
(312) 942-5000
Mailing address
1653 W CONGRESS PKWY, CHICAGO, IL 60612-3833
(312) 942-5000
Taxonomy
Speciality
Code
Description
License number
State
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
036139809
IL
2085N0700X
Neuroradiology Physician
036139809
IL
2085R0202X
Diagnostic Radiology Physician
Primary
036139809
IL
2085R0202X
Diagnostic Radiology Physician
MD60447148
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144533068
—
WA
Enumeration date
07/20/2010
Last updated
03/17/2025
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