Individual
DR. PRODDUTUR RAGHUVEER REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1725 W HARRISON ST, SUITE 1159, CHICAGO, IL 60612-3841
(312) 942-5020
(312) 563-2564
Mailing address
1725 W HARRISON ST, SUITE 1159, CHICAGO, IL 60612-3841
(312) 942-5020
(312) 563-2564
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
36109715
IL
207RI0011X
Interventional Cardiology Physician
Primary
036109715
IL
207RI0011X
Interventional Cardiology Physician
MD436630
PA
Other
Enumeration date
10/11/2006
Last updated
01/30/2017
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