Raja Ram Poludasu in Park Ridge - Nuclear Imaging & Therapy
Raja Ram Poludasu - NPI 1578682464
Raja Ram Poludasu is a Nuclear Imaging & Therapy in Park Ridge, Illinois. Raja Ram Poludasu practices all healthcare services and medical treatments related to Nuclear Imaging & Therapy. The NPI Number for Raja Ram Poludasu is 1578682464. The last update date is 2021-12-30.
Raja Ram Poludasu's current location address is 1420 Renaissance Dr Ste 307, Park Ridge, Illinois. You can contact this provider via phone number 8478031000 and fax number 8478031098. The mailing address for Raja Ram Poludasu is 1420 Renaissance Dr Ste 307, Park Ridge, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Raja Ram Poludasu |
|---|---|
| Address | 1420 Renaissance Dr Ste 307, Park Ridge, Illinois |
| Phone Number | 8478031000 |
| Fax Number | 8478031098 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1578682464 |
|---|---|
| Provider Enumeration Date | 2007-03-29 |
| Last Updated Date | 2021-12-30 |
Provider Mailing Address Detail
| Address | 1420 Renaissance Dr Ste 307 |
|---|---|
| City | Park Ridge |
| State | Illinois (IL) |
| Post Code | 600681343 |
| Phone Number | 8478031000 |
| Fax Number | 8478031098 |
Provider's Primary Taxonomy Detail
| Speciality | Nuclear Imaging & Therapy |
|---|---|
| Taxonomy | 207Un0902X |
| Licence No | P53187 |
|
Definition: A nuclear medicine physician who specializes in nuclear imaging and therapy. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Raja Ram Poludasu by the Centers for Medicare & Medicaid Services?
The Raja Ram Poludasu has been assigned the NPI (National Provider Identifier) 1578682464 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Raja Ram Poludasu is geographically located?
The Raja Ram Poludasu is physically situated at the following location: 1420 Renaissance Dr Ste 307, Park Ridge, IL, 600681343.
What is Raja Ram Poludasu's specialized field of practice, and what is the corresponding taxonomy classification code?
The Raja Ram Poludasu's area of specialization is Nuclear Imaging & Therapy, and the corresponding taxonomy code that categorizes this field of practice is 207Un0902X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1578682464 to Raja Ram Poludasu?
The Centers for Medicare & Medicaid Services originally issued the 1578682464 to Raja Ram Poludasu on 2007-03-29.
When was the information related to Raja Ram Poludasu most recently updated or refreshed?
The details pertaining to the Raja Ram Poludasu, including its address, specialty, and other relevant information, were last updated or refreshed on 2021-12-30.
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