Voruganti, Balatripura
Voruganti, Balatripura is an individual health care provider with primary practice located at 4201 W Medical Center Dr , Mchenry IL 60050-8409. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Voruganti, Balatripura can be contacted via phone (815) 334-5566.Contact Information
Primary practice address
4201 W Medical Center Dr
Mchenry IL 60050-8409
Phone: (815) 334-5566
Fax: (815) 759-4008
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 036103570 | Illinois |
Profile Details
| NPI number | 1194753269 |
|---|---|
| LBN Legal business name | Voruganti, Balatripura |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 29th, 2006 |
| Last updated | Nov 2nd, 2023 - about last year |
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 | 1194753269 | NPPES |
| Illinois | MEDICAID | 0361035702 |
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