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
Fax: (847) 618-3259
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710932025 NPPES
Illinois MEDICAID 036111867

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