Individual
DR. KIRAN NIMMAGADDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
259 E ERIE ST, SUITE 2250, CHICAGO, IL 60611-2987
(312) 926-6000
(312) 926-6165
Mailing address
259 E ERIE ST, SUITE 2250, CHICAGO, IL 60611-2987
(312) 926-6000
(312) 926-6165
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
036104779
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036104779
—
IL
Enumeration date
08/30/2005
Last updated
05/16/2016
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