Buddharaju, Venkata

Buddharaju, Venkata is an sole proprietor health care provider with primary practice located at 840 W Irving Park Rd 305, Chicago IL 60613. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Buddharaju, Venkata can be contacted via phone (773) 975-6775.

Contact Information

Primary practice address
840 W Irving Park Rd 305 Chicago IL 60613
Phone: (773) 975-6775
Fax: (773) 975-1089
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036-089871 Illinois
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 036089871 Illinois

Profile Details

NPI number 1790737781
LBN Legal business name Buddharaju, Venkata
Credentials M.D., F.C.C.P.
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 17th, 2006
Last updated Aug 30th, 2018 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790737781 NPPES
Illinois Other 01635515 BCBS

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