Individual
DR. INDRANEEL GOWDAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1653 W CONGRESS PKWY, CHICAGO, IL 60612-3833
(312) 942-5000
Mailing address
1653 W CONGRESS PKWY, CHICAGO, IL 60612-3833
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
036150260
IL
2085R0202X
Diagnostic Radiology Physician
Primary
036150260
IL
2085R0202X
Diagnostic Radiology Physician
125069721
IL
2085R0202X
Diagnostic Radiology Physician
73055
WI
Other
Enumeration date
05/13/2013
Last updated
10/07/2021
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