Emmadi, Rajyasree

Emmadi, Rajyasree is an individual health care provider with primary practice located at 840 S Wood St Ste 130 Department Of Pathology Mc 847, Chicago IL 60612-4325. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Emmadi, Rajyasree can be contacted via phone (312) 996-7312.

Contact Information

Primary practice address
840 S Wood St Ste 130 Department Of Pathology Mc 847 Chicago IL 60612-4325
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 036-078489 Illinois

Profile Details

NPI number 1871696823
LBN Legal business name Emmadi, Rajyasree
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2006
Last updated Dec 7th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871696823 NPPES
Illinois MEDICAID 036-078489

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