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Goutham Kondapi
Nephrology Physician in Chicago, Illinois
NPI 1245792175

Goutham Kondapi is a Nephrology Physician based in Chicago, IL and is specialized in Nephrology. Goutham Kondapi practices in Chicago, IL. The NPI Number for Goutham Kondapi is 1245792175 and holds a License No. (Illinois).

The current practice location address for Goutham Kondapi is 5841 S Maryland Ave # Mc5100, Chicago, IL and can be reached out via phone at 773-702-3630.

Location: 5841 S Maryland Ave # Mc5100, Chicago, IL, 60637-1443
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245792175
Provider Name
Goutham Kondapi
Credential
Provider Entity Type
Individual
Gender
Male
Address
5841 S Maryland Ave # Mc5100, Chicago, IL, 60637-1443
Phone Number
773-702-3630
Fax Number
Provider Enumeration Date
04/01/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5841 S Maryland Ave # Mc5100
City
Chicago
State
Illinois
Zip
60637-1443
Phone Number
773-702-3630
Fax Number
person
Provider Business Mailing Address Details
Address
5841 S Maryland Ave # Mc5100
City
Chicago
State
Illinois
Zip
60637-1443
Phone Number
773-702-3630
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Nephrology
Taxonomy
207RN0300X
License No.
036.160201 (Illinois)
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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