Individual
DR. AVANTHI RAGAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
351 DELNOR DR, SUITE 410, GENEVA, IL 60134-4220
(630) 232-0610
(630) 232-0675
Mailing address
351 DELNOR DR, SUITE 410, GENEVA, IL 60134-4220
(630) 232-0610
(630) 232-0675
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036112502
IL
207RH0003X
Hematology & Oncology Physician
Primary
036112502
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036112502
—
IL
01
—
206147
MEDICARE PTAN (GROUP)
IL
01
—
206147088
MEDICARE PTAN (INDIVIDUAL)
IL
01
—
CA4748
MEDICARE RAILROAD PTAN (GROUP)
IL
01
—
P01093156
MEDICARE RAILROAD PTAN (INDIVIDUAL)
IL
Enumeration date
08/08/2008
Last updated
07/20/2017
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