Bommaraju, Kalki
Bommaraju, Kalki is an individual health care provider with primary practice located at 2154 W Division St Apt 402 , Chicago IL 60622-8152. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Bommaraju, Kalki can be contacted via phone (224) 703-3244.Contact Information
Primary practice address
2154 W Division St Apt 402
Chicago IL 60622-8152
Phone: (224) 703-3244
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 35.096303 | Ohio |
Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 036127317 | Illinois |
Profile Details
NPI number | 1609029511 |
---|---|
LBN Legal business name | Bommaraju, Kalki |
Credentials | MD, MPH |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 23rd, 2008 |
Last updated | Jun 29th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1609029511 | NPPES |
Illinois | MEDICAID | 036127317 |
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