| Provider / Organization | NPI | Date Certified |
|---|---|---|
| SRIKARA DHEERAJ REDDY GONDHI | 1992484695 | 2024-10-13 |
Srikara Dheeraj Reddy Gondhi is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1992484695. Registration indicates Srikara Dheeraj Reddy Gondhi is a provider of access to adult/geriatric primary care providers services with a specialization in Allopathic & Osteopathic Physicians, Internal Medicine Access to Pediatric Primary Care Providers (Allopathic & Osteopathic Physicians, Internal Medicine) (Internal Medicine, ) (Allopathic & Osteopathic Physicians, Internal Medicine) (Primary Care/Family Planning/APRN/PA, ) (Internal Medicine, Allopathic & Osteopathic Physicians)
| Entity Type | Individual |
| Provider Name | Srikara Dheeraj Reddy Gondhi MBBS |
| Practice Office Address | 3134 N CLARK ST CHICAGO, IL US |
| Practice Office Telephone | 3127664949 |
| Practice Office Fax | 3127664925 |
| Mailing Address | 3134 N CLARK ST CHICAGO, IL 606574414 US |
| Business Telephone | 3127664949 |
| Business Fax | 3127664925 |
| Code | Practice | License No State |
|---|---|---|
| 207R00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Allopathic & Osteopathic Physicians Internal MedicineAccess to Pediatric Primary Care Providers Allopathic & Osteopathic Physicians Internal Medicine Internal Medicine Allopathic & Osteopathic Physicians Internal Medicine Primary Care/Family Planning/APRN/PA Internal Medicine Allopathic & Osteopathic Physicians | 125.082623
IL |