Individual
RUKMAIAH C. BHUPALAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 206-9000
Mailing address
PO BOX 950202, LOUISVILLE, KY 40295-0202
(502) 588-9490
(502) 272-5339
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036172635
IL
2084N0400X
Neurology Physician
23966
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64239668
—
KY
01
—
K085960
MEDICARE - NNS
KY
Enumeration date
02/14/2007
Last updated
01/16/2025
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