V Bhoopal MD,SC

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

036056748 Issued in IL

Legal business name

V BHOOPAL MD,SC

Practice address

12800 S Ridgeland Ave
Suite E
Palos Heights, IL 60463-2390

Phone

(708) 388-4911

Fax

(708) 388-4933

NPI assigned

Jun 11, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Vasireddy Bhoopal, MD

Title

Family Practice

Phone

(708) 388-4911

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1276214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276214400000",
    "number": "1902126030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12800 S RIDGELAND AVE",
            "address_2": "SUITE E",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604632390",
            "telephone_number": "708-388-4911",
            "fax_number": "708-388-4933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12800 S RIDGELAND AVE",
            "address_2": "SUITE E",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604632390",
            "telephone_number": "708-388-4911",
            "fax_number": "708-388-4933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "V BHOOPAL MD,SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-11",
        "last_updated": "2010-06-11",
        "status": "A",
        "authorized_official_last_name": "BHOOPAL",
        "authorized_official_first_name": "VASIREDDY",
        "authorized_official_title_or_position": "FAMILY PRACTICE",
        "authorized_official_telephone_number": "708-388-4911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "IL",
            "license": "036056748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036056748",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Legal Medicine in Palos Heights, IL
• Providers in Palos Heights, IL by specialty
• Legal Medicine in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.