National Provider Identifier Database

MEDA RAGHAVENDRA, MD – NPI #1629048962
Interventional Pain Medicine

Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.


Contact Information

MEDA RAGHAVENDRA, MD
2160 S FIRST AVE
(15750 MARIAN DR., HOMER GLEN, IL. 60526)
MAYWOOD, IL60153
Phone: 708-216-6462
Fax: 708-216-1249
Website:
Specialty Taxonomy Code
* Interventional Pain Medicine 208VP0014X

* Indicates primary specialty

NPI Profile & details for MEDA RAGHAVENDRA

NPI Number 1629048962
Credentials MD
Entity Individual
Enumeration date 01/26/2006
Last updated 03/04/2010 - About 16 years ago
Sole proprietor1 No
Identifiers
  • IL License #: 36092881
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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