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NPI Code Detail

MEDICARE: RAMALINGAPPA MUKUNDA M.D.

MEDICARE: RAMALINGAPPA MUKUNDA M.D.
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
1174400000XSpecialist036091032IL
2208M00000XHospitalist Physician036091032IL
3207R00000XInternal Medicine Physician036091032IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1BM4925626OTHERILDEA
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1972572675
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAMALINGAPPA MUKUNDA M.D.
Provider Business Mailing Address
First Line : 77 N AIRLITE ST
Second Line :
City : ELGIN
State : IL
Zip : 60123-4912
Country : US
Telephone Number : 847-695-3200
Fax Number :
Provider Business Practice Location Address
First Line : 77 N AIRLITE ST
Second Line :
City : ELGIN
State : IL
Zip : 60123-4912
Country : US
Telephone Number : 847-695-3200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/15/2006
Last Update Date : 07/02/2024

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