DR. RAJAGOPAL K REDDY (NPI# 1942356357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942356357 |
| Entity Type | Individual |
| Full Name | DR. RAJAGOPAL K REDDY |
| Credential | M.D. FA.C.C. |
| Practice Address |
1431 N Western Ave Suite 503 Chicago IL 60622-1797 |
| Practice Telephone | 7734897979 |
| Practice Fax Number | 7734897908 |
| Mailing Telephone | 7734897979 |
| Mailing Fax Number | 7734897908 |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2012-03-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
036-055690 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | DEA | AR8386357 | 01 |
| FEIN | 36-3593720 | 01 | |
| IL | 036055690 | 05 | |
| IL | BCBS | 31600496 | 01 |
| Street Address |
1431 N WESTERN AVE SUITE 503 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60622-1797 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023017480 | Ada I Arias Md Sc | Internal Medicine | 1431 N Western Ave, Ste 133, Chicago, IL 60622-1797 | 2005-07-19 |
| 1609302900 | Clemen Gonzalez | Student in an Organized Health Care Education/Training Program | 1431 N Western Ave, Suite 406, Chicago, IL 60622-1797 | 2017-05-05 |
| 1205374964 | Primecare Community Health Inc | Clinic/Center | 1431 N Western Ave, Suite 401, Chicago, IL 60622-1797 | 2017-02-02 |
| 1336692359 | Primecare Community Health Inc. | Clinic/Center | 1431 N Western Ave, Suite 209, Chicago, IL 60622-1797 | 2016-07-26 |
| 1760835250 | Teresa Zasowski | Student in an Organized Health Care Education/Training Program | 1431 N Western Ave, Suite 406, Chicago, IL 60622-1797 | 2016-07-19 |
| 1376994723 | Angie Aybar | Family Medicine | 1431 N Western Ave, Suite 406, Chicago, IL 60622-1797 | 2016-06-28 |
| 1598111924 | Roger Alvarez Soto | Student in an Organized Health Care Education/Training Program | 1431 N Western Ave, Suite 406, Chicago, IL 60622-1797 | 2016-05-04 |
| 1558722074 | Andrea Kuebbeler | Social Worker | 1431 N Western Ave, Suite 406, Chicago, IL 60622-1797 | 2016-03-10 |
| 1548640675 | Iffath Hussain | Student in an Organized Health Care Education/Training Program | 1431 N Western Ave, Suite 406, Chicago, IL 60622-1797 | 2015-06-03 |
| 1982083176 | Patrick Porter | Physical Therapist | 1431 N Western Ave, Suite 510, Chicago, IL 60622-1797 | 2015-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447880471 | Erikson Institute | Clinic/Center | 2739 W Division St, Chicago, IL 60622 | 2020-01-17 |
| 1720620545 | Emily Claire Bonanno | Counselor | 1397 N Miwaukee Ave, Chicago, IL 60622 | 2019-10-14 |
| 1891342093 | Taylor Mallon | Speech-Language Pathologist | 8870 South Duffy Avenue, Apartment 406, Chicago, IL 60622 | 2019-08-22 |
| 1083260277 | Maggie Inman | Student in an Organized Health Care Education/Training Program | 1431 N Claremont Avenue, 2nd Floor Pavilion, Chicago, IL 60622 | 2019-08-13 |
| 1174176168 | Karol Maricel Quelal Analuisa | Internal Medicine | 1901 W Harrison, Chicago Il 60612-3714, Chicago, IL 60622 | 2019-07-19 |
| 1073076105 | Nichole Galullo | Social Worker | 1431 N Claremont 2nd Floor, Chicago, IL 60622 | 2019-04-06 |
| 1003375122 | Alfredo Delgado Perez Sr. | Psychologist | 1127 N Oakley Bvl 3 Floor, Chicago, IL 60622 | 2019-03-18 |
| 1841773439 | Abigail Hector | Counselor | 1521 N Milwaukee Ave, 3n, Chicago, IL 60622 | 2018-09-11 |
| 1164916144 | Dorothy Mitkowski | Student in an Organized Health Care Education/Training Program | 1127 N. Oakley Blvd., 2nd Floor, Chicago, IL 60622 | 2018-06-21 |
| 1255825121 | Kara Lynn Daniel | Speech-Language Pathologist | 1540 N Artesian Ave Apt 2r, Chicago, IL 60622 | 2018-06-14 |
| Find all providers in zip 60622 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427457399 | Charles Joseph Frahm | Internal Medicine | 1200 E Madison Park, Chicago, IL 60615-2961 | 2014-08-17 |
| 1225447725 | Jeremy R. Estrada | Internal Medicine | 5841 S Maryland Ave # Mc5841, Chicago, IL 60637-1447 | 2014-08-08 |
| 1285049197 | Nidhi Madan | Internal Medicine | 1717 W Congress Pkwy Ste 317, Chicago, IL 60612 | 2014-06-30 |
| 1588097596 | Atif Khawaja Hassan | Internal Medicine | 5140 N California Ave Ste 740, Chicago, IL 60625-7066 | 2013-08-13 |
| 1952651382 | Rajeev Ruben Fernando | Internal Medicine | 365 N Jefferson St, 2712, Chicago, IL 60661-1226 | 2012-09-13 |
| 1174888945 | Mohammad Tarek Kabbany | Internal Medicine | 676 N Saint Clair St Ste 7-730, Chicago, IL 60611-2927 | 2012-07-09 |
| 1740589175 | United Diagnostic Services, LLC | Internal Medicine | 6124 N Milwaukee Ave Ste 2, Chicago, IL 60646-3820 | 2011-03-24 |
| 1932361433 | Sanjay S Gill | Internal Medicine | 2266 N. Lincoln Ave., 3, Chicago, IL 60614 | 2008-06-26 |
| 1053571208 | Curewell Diagnostic Services LLC | Internal Medicine | 6124 N Milwaukee Ave Ste 1, Chicago, IL 60646-3820 | 2008-06-11 |
| 1972760718 | Steve Attanasio | Internal Medicine | 1725 W Harrison St Ste 1159, Chicago, IL 60612 | 2008-05-20 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.