Surabhi, Srinivas Rao

Surabhi, Srinivas Rao is an individual health care provider with primary practice located at 686 W Boughton Rd , Bolingbrook IL 60440-1520. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Surabhi, Srinivas Rao can be contacted via phone (630) 378-1234.

Contact Information

Primary practice address
686 W Boughton Rd Bolingbrook IL 60440-1520
Phone: (630) 378-1234
Fax: (630) 378-1155
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036096516 Illinois

Profile Details

NPI number 1225126808
LBN Legal business name Surabhi, Srinivas Rao
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2006
Last updated Jun 11th, 2008 - about 18 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 1225126808 NPPES
Illinois Other 09921620 BLUE CROSS BLUE SHIELD

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