Individual
DR. MADHUSUDAN GANIGARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5841 S MARYLAND AVE, CHICAGO, IL 60637-1443
(773) 702-6529
Mailing address
5841 S MARYLAND AVE, CHICAGO, IL 60637-1443
(773) 702-6529
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
036.160115
IL
Other
Enumeration date
07/13/2015
Last updated
10/18/2022
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