MEDICARE: DONTHAMSETTI SESHAGIRIRAO MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0203X	Therapeutic Radiology Physician	036052317	IL
2	2085R0001X	Radiation Oncology Physician	036052317	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1508819186
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DONTHAMSETTI SESHAGIRIRAO MD

Provider Business Mailing Address
First Line	:	146 CIRCLE RIDGE DR
Second Line	:	BASEMENT
City	:	BURR RIDGE
State	:	IL
Zip	:	60527-8379
Country	:	US
Telephone Number	:	312-864-3838
Fax Number	:	312-864-9295

Provider Business Practice Location Address
First Line	:	2216 W THOMAS ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60622-3778
Country	:	US
Telephone Number	:	312-864-3838
Fax Number	:	312-864-9295

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/18/2006
Last Update Date	:	07/22/2025

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