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Individual

DR. SAIVIVEK REDDY BOGALE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
525 E 68TH ST # 141, NEW YORK, NY 10065-4870
(212) 746-2527
Mailing address
611 W. PARK ST., FAPC, URBANA, IL 61801

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
BP10042775
TX
2085R0202X
Diagnostic Radiology Physician
Primary
036145110
IL

Other

Enumeration date
05/21/2012
Last updated
03/05/2021
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