Individual
VENKATA BUDDHARAJU
Active
Individual
VENKATA BUDDHARAJU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., F.C.C.P.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036-089871
IL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
036089871
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01635515
BCBS
IL
Enumeration date
05/17/2006
Last updated
08/30/2018
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