Dr. Venkata Ranganadh Dodda
Internist Sleep Medicine Pulmonary Disease Critical Care Medicine and 4 more
1505 Eastland Dr Suite 320
Bloomington
, Illinois 61701-3534
Dr. Venkata Ranganadh Dodda
Internist Sleep Medicine Pulmonary Disease Critical Care Medicine and 4 more
1505 Eastland Dr Suite 320
Bloomington
, Illinois 61701-3534
(309) 661-2368
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About
Features
Specialties
- Internist
- Critical Care Medicine
- Pulmonary Disease
- Sleep Medicine
Languages spoken
- English
Location
First Address
- Dr. Venkata Ranganadh Dodda
- 1505 Eastland Dr
- Bloomington, IL
- Zip : 61701-3534
- Phone : (309) 661-2368
Second Address
- Dr. Venkata Ranganadh Dodda
- 1505 Eastland Dr Suite 320
- Bloomington, IL
- Zip : 61701-3534
- Phone : (309) 661-2368
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | 036132283 | IL |
| N | 111NI0900X | Internist | 036132283 | IL |
| N | 207R00000X | Internist | 4301090584 | MI |
| N | 111NI0900X | Internist | 4301090584 | MI |
| N | 207RC0200X | Critical Care Medicine | 036132283 | IL |
| N | 207RC0200X | Critical Care Medicine | 4301090584 | MI |
| N | 207RP1001X | Pulmonary Disease | 036132283 | IL |
| N | 207RP1001X | Pulmonary Disease | 4301090584 | MI |
| Y | 207RS0012X | Sleep Medicine | 036132283 | IL |
| N | 207RS0012X | Sleep Medicine | 4301090584 | MI |
National Provider Identifier
| NPI | 1013194042 |
|---|---|
| Provider Name | Dr. Venkata Ranganadh Dodda |
| First Address | Bloomington, IL 61701-3534 |
| Second Address | Bloomington, IL 61701-3534 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/01/2008 |
| Last Update Date | 22/03/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.