Veerapaneni, Raghavendra

Veerapaneni, Raghavendra is an individual health care provider with primary practice located at 30 E 15Th St Suite 202, Chicago Heights IL 60411-3459. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Legal Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Other Service Providers / Legal Medicine is his primary health care specialty. Veerapaneni, Raghavendra can be contacted via phone (708) 754-7777.

Contact Information

Primary practice address
30 E 15Th St Suite 202 Chicago Heights IL 60411-3459
Phone: (708) 754-7777
Fax: (708) 754-7811
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X 036054308 Illinois
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036054308 Illinois

Profile Details

NPI number 1780695023
LBN Legal business name Veerapaneni, Raghavendra
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2006
Last updated Aug 24th, 2015 - about 11 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 1780695023 NPPES
Illinois MEDICAID 036054308
Illinois Other F400195122
Illinois Other 0001623866
Illinois Other 080165393

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