Damera, Madhukar
Damera, Madhukar is an individual health care provider with primary practice located at 800 W Central Rd , Arlington Heights IL 60005-2349. 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. Damera, Madhukar can be contacted via phone (877) 635-9229.Contact Information
Primary practice address
800 W Central Rd
Arlington Heights IL 60005-2349
Phone: (877) 635-9229
Fax: (847) 618-3259
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036111867 | Illinois |
Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 036111867 | Illinois |
Profile Details
NPI number | 1710932025 |
---|---|
LBN Legal business name | Damera, Madhukar |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 24th, 2006 |
Last updated | Apr 28th, 2021 - about 3 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 | 1710932025 | NPPES |
Illinois | MEDICAID | 036111867 |
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