Individual
DR. KIRANGOWDA POMBARAHALLI VARADARAJU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1901 W HARRISON ST, CHICAGO, IL 60612-3714
(312) 864-6000
Mailing address
903 S ASHLAND AVE, APARTMENT # 1114B, CHICAGO, IL 60607-4002
(210) 454-4663
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
125065040
IL
Other
Enumeration date
07/27/2014
Last updated
07/27/2014
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