MEDICARE: DR. V R KUCHIPUDI 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
1	207R00000X	Internal Medicine Physician		IL
2	207RH0003X	Hematology & Oncology Physician		IL

General Provider Information

NPI Number	:	1265492128
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. V R KUCHIPUDI M.D.

Provider Business Mailing Address
First Line	:	1730 PARK ST
Second Line	:	SUITE 101
City	:	NAPERVILLE
State	:	IL
Zip	:	60563-2688
Country	:	US
Telephone Number	:	630-718-0200
Fax Number	:	630-718-0900

Provider Business Practice Location Address
First Line	:	3101 MAPLE AVE
Second Line	:
City	:	BROOKFIELD
State	:	IL
Zip	:	60513-1236
Country	:	US
Telephone Number	:	708-387-0121
Fax Number	:	708-387-0129

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

Provider Enumeration Date	:	03/24/2006
Last Update Date	:	09/11/2025

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