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Organization

RAMA R DANDAMUDI MD SC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RAMA R DANDAMUDI MD (OWNER)
(630) 758-8759
Entity
Organization

Contact information

Practice address
1200 S YORK RD, 4250, ELMHURST, IL 60126-5626
(630) 758-8759
(630) 758-8751
Mailing address
PO BOX 5228, OAK BROOK, IL 60522-5228
(630) 758-8759
(630) 758-8751

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036087478
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036087478
IL
Enumeration date
01/27/2010
Last updated
01/27/2010
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