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NPI Code Detail

MEDICARE: MRS. ANURADHA GARIMELLA

MEDICARE: MRS. ANURADHA GARIMELLA
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
1122300000XDentist019027423IL

General Provider Information

NPI Number : 1730373176
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ANURADHA GARIMELLA
Provider Business Mailing Address
First Line : 1635 OAKTON PL
Second Line :
City : DES PLAINES
State : IL
Zip : 60018-2002
Country : US
Telephone Number : 847-803-8800
Fax Number : 847-813-0106
Provider Business Practice Location Address
First Line : 1635 OAKTON PL
Second Line :
City : DES PLAINES
State : IL
Zip : 60018-2002
Country : US
Telephone Number : 847-803-8800
Fax Number : 847-813-0106
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2007
Last Update Date : 01/07/2013

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Directions to “ MRS. ANURADHA GARIMELLA ” Practice Location

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