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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 Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for VASIREDDY BHOOPAL · (Male)

NPI Number 1154333961
Status Active
Credentials MD
Entity Individual
Enumeration date 08/12/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 036-056748
  • IL Other 036-056748 ILLINOIS LICENCE NUMBER
Hospital affiliation(s) Not Available
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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