Mullapudi Medical LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

036119143 Issued in IL

Legal business name

MULLAPUDI MEDICAL LLC

Practice address

2S607 Avenue Vendome
Oak Brook, IL 60523-1073

Phone

(630) 926-5409

NPI assigned

Feb 16, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Rajendra Mullapudi, M DNPI 1679764096

Title

President

Phone

(630) 926-5409

Specialties & licenses 1

Addresses

Tax ID family

Mullapudi Medical LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mullapudi Medical LLC

  • Internal Medicine Physician
  • Oak Brook, IL
  • NPI 1336434687
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rajendra Prasad Mullapudi, M.D.

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1679764096
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1266278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266278400000",
    "number": "1811219017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 SOUTH 607 AVE VENDOME",
            "city": "OAKBROOK",
            "state": "IL",
            "postal_code": "605231073",
            "telephone_number": "630-926-5409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2S607 AVENUE VENDOME",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231073",
            "telephone_number": "630-926-5409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULLAPUDI MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-16",
        "last_updated": "2010-02-16",
        "status": "A",
        "authorized_official_last_name": "MULLAPUDI",
        "authorized_official_first_name": "RAJENDRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-926-5409",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M D"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "IL",
            "license": "036119143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caleb E Mowry
• MSK Medical LTD
• Samira Mukkamala, DMD
• Bryan Beranard Mullaney, DNP
• Mullapudi Medical LLC
• Mulso Associates Counseling, LTD
• Bryce Mulso
• Maurissa L Murakami, LPC
• Alicia Muran, DDS
• Lauren Muscolino, LCSW, CADC

• General Practice Physician in Oak Brook, IL
• Providers in Oak Brook, IL by specialty
• General Practice Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.