Maitrayee Sundaresan Vadali MD

NPI 1013900851 - Internal Medicine - 207RC0000X

NPI Details
NPI 1013900851
Gender Female
Enumeration Date 08/26/2005
Last Updated 07/10/2015
Entity Type Individual
Active Over 11 years ago
Practice Location
4950 W 95TH ST
OAK LAWN IL, 60453-2504, US
Phone (708) 576-8150
Fax (708) 576-8831
Business Location
4950 W 95TH ST
OAK LAWN IL, 60453-2504, US
Phone (708) 576-8150
Fax (708) 576-8831
Toxanomy
Taxonomy Code 207RC0000X
License State Illinois
License Number 036-102767
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According to our database, Dr. Maitrayee Sundaresan Vadali MD NPI is 1013900851, taxonomy code is 207RC0000X and license number is 036-102767, license state is located at Illinois. Maitrayee Sundaresan Vadali MD physically located at 4950 W 95th St, Oak Lawn IL, 60453-2504. NPI Number Maitrayee Sundaresan Vadali MD has the Individual type.

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1013900851 NPI number is provided on an as is basis without warranty of any kind. 1013900851 is maintained by the National Plan & Provider Enumeration System. The contents of Maitrayee Sundaresan Vadali MD are for informational purposes only.