Samyukta Koppula M.D.

NPI 1770641763 - Allergy & Immunology - 207K00000X

NPI Details
NPI 1770641763
Gender Female
Enumeration Date 12/04/2006
Last Updated 09/30/2013
Entity Type Individual
Active Over 9 years ago
Practice Location
6857 KINGERY HWY
WILLOWBROOK IL, 60527-5114, US
Phone (630) 323-8800
Fax (630) 850-9797
Business Location
6857 KINGERY HWY
WILLOWBROOK IL, 60527-5114, US
Phone (630) 323-8800
Fax (630) 850-9797
Toxanomy
Taxonomy Code 207K00000X
License State Illinois
License Number 00303660782441
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According to our database, Samyukta Koppula M.D. NPI is 1770641763, taxonomy code is 207K00000X and license number is 00303660782441, license state is located at Illinois. Samyukta Koppula M.D. physically located at 6857 Kingery Hwy, Willowbrook IL, 60527-5114. NPI Number Samyukta Koppula M.D. has the Individual type.

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1770641763 NPI number is provided on an as is basis without warranty of any kind. 1770641763 is maintained by the National Plan & Provider Enumeration System. The contents of Samyukta Koppula M.D. are for informational purposes only.