Individual
RAJA C MADDIPOTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
625 9TH ST N STE 201, NAPLES, FL 34102-8143
(239) 261-2000
(239) 261-2266
Mailing address
PO BOX 26067, SALT LAKE CITY, UT 84126-0067
(239) 624-0400
(239) 624-0464
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
036-082727
IL
207RC0000X
Cardiovascular Disease Physician
036082727
IL
207RC0000X
Cardiovascular Disease Physician
Primary
ME143903
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036082727
—
IL
01
—
060067999
RAILROAD
IL
Enumeration date
10/19/2006
Last updated
04/27/2022
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