Individual
MURALIDHARA RAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2160 S 1ST AVE, (FAHEY BLDG., RM. 222), MAYWOOD, IL 60153
(708) 216-3750
(708) 216-6840
Mailing address
2160 S 1ST AVE, (FAHEY BLDG., RM. 222), MAYWOOD, IL 60153
(708) 216-3750
(708) 216-6840
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
036097182
IL
2084P0800X
Psychiatry Physician
Primary
36097182
IL
2084P0805X
Geriatric Psychiatry Physician
036097182
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36097182
—
IL
Enumeration date
03/01/2006
Last updated
08/29/2023
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