Poludasu, Raja Ram

Poludasu, Raja Ram is an individual health care provider with primary practice located at 1420 Renaissance Dr Ste 307 , Park Ridge IL 60068-1343. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nuclear Imaging & Therapy, which is considered as his primary health care specialty. Poludasu, Raja Ram can be contacted via phone (847) 803-1000.

Contact Information

Primary practice address
1420 Renaissance Dr Ste 307 Park Ridge IL 60068-1343
Phone: (847) 803-1000
Fax: (847) 803-1098
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nuclear Imaging & Therapy 207UN0902X P53187 New York

Profile Details

NPI number 1578682464
LBN Legal business name Poludasu, Raja Ram
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2007
Last updated Dec 30th, 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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