Individual
ANIRUDH MADDALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
303 E CHICAGO AVE, CHICAGO, IL 60611-4296
(312) 503-3659
Mailing address
24 HENDRICKSON DR, BELLE MEAD, NJ 08502-4108
(908) 906-9548
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/11/2026
Last updated
03/11/2026
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