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Organization

PARVATHAMMA IMAGING SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BANGALORE M KEERTHIKUMAR MD (PRESIDENT)
(773) 350-3579
Entity
Organization

Contact information

Practice address
7431 S EAST END AVE STE 2, CHICAGO, IL 60649-3611
(773) 363-8080
Mailing address
7431 S EAST END AVE STE 2, CHICAGO, IL 60649-3611
(773) 363-8080

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary

Other

Enumeration date
07/19/2019
Last updated
07/19/2019
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