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SAI RAM NIMMAGADDA M.D.

Allergy

Orland Park, Illinois

Provider NPI: 1902889041

Provider Information:
 SAI RAM NIMMAGADDA M.D.


Practice Location:
10733 W. 165TH ST.  ORLAND PARK, IL 60467 US
Tel: 708-957-7468  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207KA0200XPhysicians
Allergy & Immunology
Allergy
IL36082949

Other Provider Identifiers:

IssuerNumberStateType
036082949IL05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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