Meda Raghavendra, MD | |
2160 S First Ave, (15750 Marian Dr., Homer Glen, Il. 60526), Maywood, IL 60153 | |
(708) 216-6462 | |
(708) 216-1249 |
Full Name | Meda Raghavendra |
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Gender | Male |
Speciality | Pain Medicine - Interventional Pain Medicine |
Location | 2160 S First Ave, Maywood, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629048962 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208VP0014X | Pain Medicine - Interventional Pain Medicine | 36092881 (Illinois) | Primary |
Entity Name | Loyola University Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336159961 PECOS PAC ID: 3779488903 Enrollment ID: O20031202000027 |
Mailing Address | Practice Location Address |
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Meda Raghavendra, MD 2160 S First Ave, (15750 Marian Dr., Homer Glen, Il. 60526), Maywood, IL 60153 Ph: (708) 216-6462 | Meda Raghavendra, MD 2160 S First Ave, (15750 Marian Dr., Homer Glen, Il. 60526), Maywood, IL 60153 Ph: (708) 216-6462 |
Mariadas Chinthagada, MD Pain Medicine Medicare: Not Enrolled in Medicare Practice Location: 2160 S First Ave, (bldg. 103, Rm. 3102), Maywood, IL 60153 Phone: 708-216-6462 Fax: 708-216-1249 | |
Rami Sadek Awad Abdel Aziz, MD Pain Medicine Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave Bldg 3100, Maywood, IL 60153 Phone: 708-216-3145 |