Individual
RAJEEV SAI POLASANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2650 RIDGE AVE., DEPARTMENT OF RADIOLOGY, EVANSTON, IL 60201-1057
(847) 570-2477
(847) 570-2942
Mailing address
2650 RIDGE AVE., DEPARTMENT OF RADIOLOGY, EVANSTON, IL 60201-1057
(847) 570-2477
(847) 570-2942
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
036120474
IL
2085R0202X
Diagnostic Radiology Physician
Primary
MD428312
PA
Other
Enumeration date
01/10/2007
Last updated
02/23/2022
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