Rao, Madhav Vijay

Rao, Madhav Vijay is an individual health care provider with primary practice located at 1634 W Polk St , Chicago IL 60612-4352. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Rao, Madhav Vijay can be contacted via phone (312) 423-4200.

Contact Information

Primary practice address
1634 W Polk St Chicago IL 60612-4352
Phone: (312) 423-4200
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 36115306 Illinois

Profile Details

NPI number 1578742268
LBN Legal business name Rao, Madhav Vijay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 30th, 2007
Last updated Nov 22nd, 2024 - about 2 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 1578742268 NPPES
Illinois MEDICAID 036115306

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