Vadali, Mahesh

Vadali, Mahesh is an individual health care provider with primary practice located at 10458 S Pulaski Rd , Oak Lawn IL 60453-4933. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as her primary health care specialty. Vadali, Mahesh can be contacted via phone (708) 636-1818.

Contact Information

Primary practice address
10458 S Pulaski Rd Oak Lawn IL 60453-4933
Phone: (708) 636-1818
Fax: (708) 636-2151
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 036086617 Illinois

Profile Details

NPI number 1003836727
LBN Legal business name Vadali, Mahesh
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Dec 31st, 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 1003836727 NPPES
Illinois Other 0031601474 BLUE SHIELD
Illinois Other 110152131 BLUE SHIELD
Illinois MEDICAID 036086617 BLUE SHIELD

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