Individual
SRISUDHA REDDY GUNDALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2800 KESLINGER RD STE 160, GENEVA, IL 60134-3753
(630) 232-7200
(630) 232-2288
Mailing address
2800 KESLINGER RD STE 160, GENEVA, IL 60134-3753
(630) 232-7200
(630) 232-2288
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036099196
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036099196
—
IL
Enumeration date
07/08/2005
Last updated
01/31/2023
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