Madhavi Manubolu in Naperville - Family Medicine

Madhavi Manubolu - NPI 1194890459

Madhavi Manubolu is a Family Medicine in Naperville, Illinois. Madhavi Manubolu practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Madhavi Manubolu is 1194890459. The last update date is 2021-02-25.

Madhavi Manubolu's current location address is 1331 W 75th St Ste 202, Naperville, Illinois. You can contact this provider via phone number 6303053025 and fax number 6309953876. The mailing address for Madhavi Manubolu is 1331 W 75th St Ste 202, Naperville, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Madhavi Manubolu
Address 1331 W 75th St Ste 202, Naperville, Illinois
Phone Number 6303053025
Fax Number 6309953876
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1194890459
Provider Enumeration Date 2006-11-22
Last Updated Date 2021-02-25

Provider Mailing Address Detail

Address 1331 W 75th St Ste 202
City Naperville
State Illinois (IL)
Post Code 605409311
Phone Number 6303053025
Fax Number 6309953876

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 36115243
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
36115243 IL --

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FAQs about Madhavi Manubolu

What is the Madhavi Manubolu's unique identification number?

The Madhavi Manubolu has been assigned the NPI (National Provider Identifier) Number 1194890459 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you share the physical location details of Madhavi Manubolu?

The Madhavi Manubolu is situated at 1331 W 75Th St Ste 202, in the city of Naperville, state of IL, with the zip code 605409311.

What is the Madhavi Manubolu's specialty and taxonomy code?

The Madhavi Manubolu's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.

On what date did the Madhavi Manubolu receive the assignment of its 1194890459 from the Centers for Medicare & Medicaid Services?

The Madhavi Manubolu was issued its 1194890459 by the Centers for Medicare & Medicaid Services on 2006-11-22.

When was the Madhavi Manubolu's information last updated?

The Madhavi Manubolu's information was last updated on 2021-02-25.

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