Nagendra Polavarapu
M.D. | Pediatrics | Male
Nagendra Polavarapu, M.D. is a Oak Lawn, Illinois based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Nagendra Polavarapu is
4440 W 95th St Ste 3192h, Oak Lawn, Illinois - 60453-2600. He can be contacted on phone at
708-684-5685 and fax number 708-684-4712.
Nagendra Polavarapu is a sole proprietor of his business.
NPI number (Unique professional ID) for Nagendra Polavarapu is
1881731255 which was assigned by NPPES on 01 Feb, 2007 and it was last updated on 20 Feb, 2023.
Nagendra Polavarapu license number is
036-119683 for Pediatrics (208000000X) in Illinois.
Nagendra Polavarapu is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Nagendra Polavarapu basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Nagendra Polavarapu |
|---|
| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Nagendra Polavarapu address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 4440 W 95th St Ste 3192h
Oak Lawn, IL, 60453-2600
United States |
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| Phone Number : | 708-684-5685 |
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| Fax Number : | 708-684-4712 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1881731255 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 01 Feb, 2007 |
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| Last Updated On : | 20 Feb, 2023 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Nagendra Polavarapu are as mentioned. Primary taxonomy code for Nagendra Polavarapu, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0203X | Pediatrics, Pediatric Critical Care Medicine | No | 036119683 | IL |
| 2080P0203X | Pediatrics, Pediatric Critical Care Medicine | No | 38700 | KY |
| 208000000X | Pediatrics | Yes | 036-119683 | IL |
Legacy Identifiers:
Other legacy medical identifiers of Nagendra Polavarapu such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 036119683 | MEDICAID | IL | |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | npolavarapu227326@direct.myadvocateaurora.org
| No affiliation | DIRECT
Direct
|
| 4440 W 95th St Ste 3192H,
Oak Lawn, IL, 60453-2600
United States |
FHIR
(FHIR URL) | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
| No affiliation |
|
| 4440 W 95th St Ste 3192H,
Oak Lawn, IL, 60453-2600
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 29373 Network Pl
Chicago, IL, 60673-1293
United States |
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| Phone Number : | 847-390-5900 |
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Business Location:
Patients can refer following map for directions to
Nagendra Polavarapu practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.