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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MEDA RAGHAVENDRA, MD

Active

MEDA RAGHAVENDRA, MD is a Interventional Vascular Surgery healthcare provider located in MAYWOOD, Illinois. NPI 1629048962 is currently active in the NPPES registry. Verify at CMS.

Interventional Vascular Surgery · MAYWOOD, IL

Registration Details

NPI Number
1629048962
Provider Type
Individual
Gender
Male
NPI Issued
Jan 26, 2006 (20.559331394904 yrs)
Last Updated
Mar 4, 2010
License
36092881 (IL)

Practice Information

Address
2160 S FIRST AVE
(15750 MARIAN DR., HOMER GLEN, IL. 60526)
MAYWOOD, IL, 60153
Browse IL providers · Browse ZIP 60153
Phone
7082166462
Fax
7082161249
Primary Specialty
Interventional Vascular Surgery
208VP0014X

Other Interventional Vascular Surgery Providers in MAYWOOD, IL

Name Credential NPI
MARIADAS CHINTHAGADA MD 1356311773
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.