Individual
RAJA RAM POLUDASU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1420 RENAISSANCE DR STE 307, PARK RIDGE, IL 60068-1343
(847) 803-1000
(847) 803-1098
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
207UN0902X
Nuclear Imaging & Therapy Physician
Primary
P53187
NY
2085R0202X
Diagnostic Radiology Physician
036121439
IL
Other
Enumeration date
03/29/2007
Last updated
02/26/2026
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