National Provider Identifier Database

VASIREDDY BHOOPAL, MD – NPI #1154333961
Geriatric Medicine

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.


Contact Information

VASIREDDY BHOOPAL, MD
12800 S RIDGELAND AVE
SUITE E
PALOS HEIGHTS, IL60463-2390
Phone: 708-388-4911
Fax: 708-388-4933
Website:
Specialty Taxonomy Code
* Geriatric Medicine 207QG0300X

* Indicates primary specialty

NPI Profile & details for VASIREDDY BHOOPAL

NPI Number 1154333961
Credentials MD
Entity Individual
Enumeration date 08/12/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor1 Yes
Identifiers
  • IL License #: 036-056748
  • IL Other: 036-056748 ILLINOIS LICENCE NUMBER
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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