National Provider Identifier Database

RAJA RAM POLUDASU, MD – NPI #1578682464
Nuclear Imaging & Therapy


Contact Information

RAJA RAM POLUDASU, MD
1420 RENAISSANCE DR STE 307
PARK RIDGE, IL60068-1343
Phone: 847-803-1000
Fax: 847-803-1098
Website:
Specialty Taxonomy Code
* Nuclear Imaging & Therapy 207UN0902X
Diagnostic Radiology 2085R0202X

* Indicates primary specialty

NPI Profile & details for RAJA RAM POLUDASU

NPI Number 1578682464
Credentials MD
Entity Individual
Enumeration date 03/29/2007
Last updated 02/26/2026 - About 3 months ago
Sole proprietor1 No
Identifiers
  • IL License #: 036121439
  • NY License #: P53187
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.

Reviews for RAJA RAM POLUDASU, MD

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