Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 036-096832 | IL |
Y | 111NI0900X | Internist | 036-096832 | IL |
NPI | 1003182361 |
---|---|
Provider Name | Dr. Roopa Kala Karri |
First Address | Naperville, IL 60564-5102 |
Second Address | Rochelle, IL 60168 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/03/2012 |
Last Update Date | 30/11/2018 |