Mahesh Vadali
Gastroenterologist
10458 S Pulaski Rd
Oak Lawn
, Illinois 60453-4933
Mahesh Vadali
Gastroenterologist
10458 S Pulaski Rd
Oak Lawn
, Illinois 60453-4933
(773) 767-8320
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About
Features
Specialties
- Gastroenterologist
Languages spoken
- English
Location
First Address
- Mahesh Vadali
- Po Box 388320
- Chicago, IL
- Zip : 60638-8320
- Fax : (773) 767-8320
- Phone : (773) 767-4600
Second Address
- Mahesh Vadali
- 10458 S Pulaski Rd
- Oak Lawn, IL
- Zip : 60453-4933
- Fax : (708) 636-2151
- Phone : (708) 636-1818
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RG0100X | Gastroenterologist | 036086617 | IL |
National Provider Identifier
| NPI | 1003836727 |
|---|---|
| Provider Name | Mahesh Vadali |
| First Address | Chicago, IL 60638-8320 |
| Second Address | Oak Lawn, IL 60453-4933 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/07/2006 |
| Last Update Date | 31/12/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0031601474 | BLUE SHIELD (01) | IL |
| 036086617 | (05) | IL |
| 110152131 | RAILROAD MEDICARE (01) | |
| G24149 | (02) |
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.