Individual
SAMRAGNYI MADALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5666 E STATE ST, ROCKFORD, IL 61108-2425
(815) 227-2273
(815) 227-2658
Mailing address
5666 E STATE ST, ROCKFORD, IL 61108-2425
(815) 227-2273
(815) 227-2658
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036174713
IL
207RH0003X
Hematology & Oncology Physician
R-12372
IA
207RX0202X
Medical Oncology Physician
Primary
036174713
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/06/2018
Last updated
01/26/2026
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