Raghavendra, Meda
Raghavendra, Meda is an individual health care provider with primary practice located at 2160 S First Ave (15750 Marian Dr., Homer Glen, Il. 60526), Maywood IL 60153. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Pain Medicine, which is considered as his primary health care specialty. Raghavendra, Meda can be contacted via phone (708) 216-6462.Contact Information
Primary practice address
2160 S First Ave (15750 Marian Dr., Homer Glen, Il. 60526)
Maywood IL 60153
Phone: (708) 216-6462
Fax: (708) 216-1249
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | 36092881 | Illinois |
Profile Details
| NPI number | 1629048962 |
|---|---|
| LBN Legal business name | Raghavendra, Meda |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 26th, 2006 |
| Last updated | Mar 4th, 2010 - about 16 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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