| Mullapudi Medical Llc | |
|
2s607 Avenue Vendome Oak Brook IL 60523-1073 | |
| (630) 926-5409 | |
| Not Available |
| Full Name | Mullapudi Medical Llc |
|---|---|
| Speciality | General Practice |
| Location | 2s607 Avenue Vendome, Oak Brook, Illinois |
| Authorized Official Name and Position | Rajendra Mullapudi (PRESIDENT) |
| Authorized Official Contact | 6309265409 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mullapudi Medical Llc 2 South 607 Ave Vendome Oakbrook IL 60523-1073 Ph: (630) 926-5409 | Mullapudi Medical Llc 2s607 Avenue Vendome Oak Brook IL 60523-1073 Ph: (630) 926-5409 |
| NPI Number | 1811219017 |
|---|---|
| Provider Enumeration Date | 02/16/2010 |
| Last Update Date | 02/16/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811219017 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 036119143 (Illinois) | Primary |
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