Konuthula, Dedeepya

Konuthula, Dedeepya is an individual health care provider with primary practice located at 5841 S. Maryland Ave Mc 2007 B223, Chicago IL 60637-1443. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Konuthula, Dedeepya can be contacted via phone (888) 824-0200.

Contact Information

Primary practice address
5841 S. Maryland Ave Mc 2007 B223 Chicago IL 60637-1443
Phone: (888) 824-0200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036.159969 Illinois
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036.159969 Illinois

Profile Details

NPI number 1780176610
LBN Legal business name Konuthula, Dedeepya
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2018
Last updated Jun 8th, 2022 - about 3 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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