Individual
DR. AJAY DHARMAPPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10400 HALIGUS RD, HUNTLEY, IL 60142-9553
(224) 654-0000
(224) 654-0000
Mailing address
5137 NW 109TH TER, CORAL SPRINGS, FL 33076-2721
(954) 629-5883
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036170120
IL
207L00000X
Anesthesiology Physician
ME128939
FL
Other
Enumeration date
04/24/2013
Last updated
10/29/2024
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