Individual
TEJA POOSARLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2520 ELISHA AVENUE, ZION, IL 60099
(800) 322-9183
(571) 472-1294
Mailing address
2361 PAYSPHERE CIRCLE, CHICAGO, IL 60067
(800) 322-9183
(571) 423-5698
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101273767
VA
207R00000X
Internal Medicine Physician
23858
MS
207RH0003X
Hematology & Oncology Physician
MD.37162
AL
207RX0202X
Medical Oncology Physician
0101273767
VA
207RX0202X
Medical Oncology Physician
Primary
036.171938
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/01/2012
Last updated
05/21/2025
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