Organization
MALAPATI INC
Active
Other names
Dr Premesh Malapati
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PREMESH MALAPATI M.D. (OWNER)
(630) 748-9373
Entity
Organization
Contact information
Practice address
5600 W ADDISON ST LOWR 1LL, CHICAGO, IL 60634-4444
(630) 748-9373
Mailing address
824 MARENGO AVE, FOREST PARK, IL 60130-2033
(630) 748-9373
(888) 668-6550
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036114832
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036114832
—
IL
Enumeration date
08/06/2015
Last updated
09/12/2021
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