Organization
MULLAPUDI MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAJENDRA MULLAPUDI M D (PRESIDENT)
(630) 926-5409
Entity
Organization
Contact information
Practice address
2S607 AVENUE VENDOME, OAK BROOK, IL 60523-1073
(630) 926-5409
Mailing address
2 SOUTH 607 AVE VENDOME, OAKBROOK, IL 60523-1073
(630) 926-5409
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
036119143
IL
Other
Enumeration date
02/16/2010
Last updated
02/16/2010
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