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Individual

RADHA KRISHNA UPPUTURI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
28375 DAVIS PKWY, WARRENVILLE, IL 60555
(630) 225-4060
(630) 315-1505
Mailing address
234 N ADAMS STREET, HINSDALE, IL 60521

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036-115736
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
206147
MEDICARE PTAN GROUP
IL
01
F400228127
MEDICARE PTAN INDIVIDUAL
IL
Enumeration date
07/21/2006
Last updated
12/21/2021
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