Organization
RAJAGOPAL K REDDY MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAJAGOPAL K REDDY MD (CARDIOLOGIST)
(773) 489-7979
Entity
Organization
Contact information
Practice address
1431 N WESTERN AVE, CHICAGO, IL 60622-1797
(773) 489-7979
(773) 489-7908
Mailing address
1431 N WESTERN AVE, CHICAGO, IL 60622-1797
(773) 489-7979
(773) 489-7908
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036055690
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036055690
—
IL
Enumeration date
05/08/2012
Last updated
05/18/2012
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