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NPI Code Detail

MEDICARE: KUCHIPUDI VEERRAJU MD

MEDICARE: KUCHIPUDI VEERRAJU 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
1207Q00000XFamily Medicine PhysicianIL

General Provider Information

NPI Number : 1043292121
Entity Type Code : Individual
Provider Name (Legal Business Name) : KUCHIPUDI VEERRAJU MD
Provider Business Mailing Address
First Line : 475 N FARNSWORTH AVE
Second Line : AURORA MEDICAL CLINIC
City : AURORA
State : IL
Zip : 60505-3004
Country : US
Telephone Number : 630-898-0022
Fax Number : 630-898-2933
Provider Business Practice Location Address
First Line : 475 N FARNSWORTH AVE
Second Line : AURORA MEDICAL CLINIC
City : AURORA
State : IL
Zip : 60505-3004
Country : US
Telephone Number : 630-898-0022
Fax Number : 630-898-2933
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/15/2005
Last Update Date : 07/08/2007

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Directions to “ KUCHIPUDI VEERRAJU MD” Practice Location

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