Nimmagadda, Sai Ram
Nimmagadda, Sai Ram is an individual health care provider with primary practice located at 10733 W. 165Th St. , Orland Park IL 60467-8713. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy, which is considered as his primary health care specialty. Nimmagadda, Sai Ram can be contacted via phone (708) 957-7468.Contact Information
Primary practice address
10733 W. 165Th St.
Orland Park IL 60467-8713
Phone: (708) 957-7468
Fax: (708) 957-7471
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy | 207KA0200X | 36082949 | Illinois |
Profile Details
| NPI number | 1902889041 |
|---|---|
| LBN Legal business name | Nimmagadda, Sai Ram |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 22nd, 2005 |
| Last updated | Mar 17th, 2010 - about 15 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 | 1902889041 | NPPES |
| Illinois | MEDICAID | 036082949 |
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