Individual
RAGHU CHAKRAVARTHY VANAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
85 E US HIGHWAY 6, 2E, VALPARAISO, IN 46383-8947
(313) 745-7999
Mailing address
6 S LAFLIN ST, 805, CHICAGO, IL 60607-2433
(313) 409-2536
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01075334A
IN
Other
Enumeration date
04/10/2012
Last updated
03/09/2022
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