Veerapaneni, Raghavendra
Veerapaneni, Raghavendra is an individual health care provider with primary practice located at 30 E 15Th St Suite 202, Chicago Heights IL 60411-3459. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Legal Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Other Service Providers / Legal Medicine is his primary health care specialty. Veerapaneni, Raghavendra can be contacted via phone (708) 754-7777.Contact Information
Primary practice address
30 E 15Th St Suite 202
Chicago Heights IL 60411-3459
Phone: (708) 754-7777
Fax: (708) 754-7811
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Legal Medicine | 173000000X | 036054308 | Illinois |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036054308 | Illinois |
Profile Details
NPI number | 1780695023 |
---|---|
LBN Legal business name | Veerapaneni, Raghavendra |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 11th, 2006 |
Last updated | Aug 24th, 2015 - about 10 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 | 1780695023 | NPPES |
Illinois | MEDICAID | 036054308 | |
Illinois | Other | F400195122 | |
Illinois | Other | 0001623866 | |
Illinois | Other | 080165393 |
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