MEDICARE: DR. NARAYANA SWAMY NAGUBADI 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	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	036105370	IL
2	207RS0012X	Sleep Medicine (Internal Medicine) Physician	036105370	IL
3	207RP1001X	Pulmonary Disease Physician	036105370	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
2	1617373	OTHER	IL	BCBS OF IL
3	336-066339	OTHER	IL	CONTROLLED SUBSTANCE

General Provider Information

NPI Number	:	1295782365
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NARAYANA SWAMY NAGUBADI M.D.

Provider Business Mailing Address
First Line	:	1900 W POLK ST
Second Line	:	SUITE 1429
City	:	CHICAGO
State	:	IL
Zip	:	60612-3723
Country	:	US
Telephone Number	:	312-864-7326
Fax Number	:	312-864-7394

Provider Business Practice Location Address
First Line	:	1900 W POLK ST
Second Line	:	SUITE 1429
City	:	CHICAGO
State	:	IL
Zip	:	60612-3723
Country	:	US
Telephone Number	:	312-864-6000
Fax Number	:	312-864-7394

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

Provider Enumeration Date	:	05/27/2006
Last Update Date	:	03/07/2023

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