Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. BHADRA DEV KOMARRAJU, APRN AGNP-C
ActiveMR. BHADRA DEV KOMARRAJU, APRN AGNP-C is a Gerontological Nurse Practitioner healthcare provider located in HILLSIDE, Illinois. NPI 1831529296 is currently active in the NPPES registry. Verify at CMS.
Gerontological Nurse Practitioner · HILLSIDE, IL
Registration Details
- NPI Number
- 1831529296
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 22, 2013 (12.762911712312 yrs)
- Last Updated
- Mar 28, 2018
- Licenses
-
209010785 (IL)209010785 (IL)
Practice Information
- Address
-
4415 HARRISON STHILLSIDE, IL, 601621910Browse IL providers · Browse ZIP 60162
- Phone
- 3127383355
- Primary Specialty
-
Gerontological Nurse Practitioner
363LG0600X
- Additional Specialty
- Adult Health Nurse Practitioner
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.