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Individual

DR. YAMMANURU RAMULU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
300 RANDALL RD, GENEVA, IL 60134-4200
(630) 208-3000
Mailing address
825 W STATE ST, SUITE 103E, GENEVA, IL 60134-2080
(630) 208-4412
(630) 208-0201

Taxonomy

Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
IL
2085N0904X
Nuclear Radiology Physician
IL
2085P0229X
Pediatric Radiology Physician
IL
2085R0001X
Radiation Oncology Physician
IL
2085R0202X
Diagnostic Radiology Physician
IL
2085R0203X
Therapeutic Radiology Physician
IL
2085R0204X
Vascular & Interventional Radiology Physician
IL
2085U0001X
Diagnostic Ultrasound Physician
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
04515240
BLUE CROSS PROVIDER ID
IL
Enumeration date
09/13/2006
Last updated
09/11/2025
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