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NPI Code Detail

MEDICARE: RAGHU SHANTAN REDDY MARRI M.D.

MEDICARE: RAGHU SHANTAN REDDY MARRI 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
1207L00000XAnesthesiology Physician036134155IL

General Provider Information

NPI Number : 1841511573
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAGHU SHANTAN REDDY MARRI M.D.
Provider Business Mailing Address
First Line : 2160 S 1ST AVE
Second Line :
City : MAYWOOD
State : IL
Zip : 60153-3328
Country : US
Telephone Number : 708-216-9000
Fax Number :
Provider Business Practice Location Address
First Line : 2160 S 1ST AVE
Second Line :
City : MAYWOOD
State : IL
Zip : 60153-3328
Country : US
Telephone Number : 708-216-9000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2010
Last Update Date : 02/16/2026

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