RAO UPPUULURI M.D.S.C. NPI 1609259126

NPI Information

NPI: 1609259126
Provider Name: RAO UPPUULURI, M.D.S.C.
Classification: Physician Assistant - 363AM0700X
Entity Type: Organization

Specialization: Medical

Address:
17901 GOVERNORS HWY
SUITE 202
HOMEWOOD, IL
ZIP 60430
Phone: (708) 957-0221
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RAO UPPUULURI, M.D.S.C. is a medical physician assistant in Homewood, IL. RAO UPPUULURI, M.D.S.C. NPI is 1609259126. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

17901 GOVERNORS HWY
SUITE 202
HOMEWOOD, IL
ZIP 60430-144
Phone: (708) 957-0221
Fax: (708) 957-4519

The provider's authorized official is Fran M Norris .
The authorized official title is Office Manager and has the following contact phone number (708) 957-0021.

The enumeration date for this NPI number is 7/1/2015 and was last updated on 7/1/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	085005481	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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