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Bhanuprasad Venkatesulu, MD
Radiation Oncology Physician in Maywood, Illinois
NPI 1275093734

Bhanuprasad Venkatesulu is a Radiation Oncology Physician based in Summit, IL and is specialized in Radiation Oncology. Bhanuprasad Venkatesulu practices in Maywood, IL and has the professional credentials of MD. The NPI Number for Bhanuprasad Venkatesulu is 1275093734 and holds a License No. (Illinois).

The current practice location address for Bhanuprasad Venkatesulu is 2160 S 1St Ave, Maywood, IL and can be reached out via phone at 832-275-4272.

Location: 2160 S 1St Ave, Maywood, IL, 60501-2054
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275093734
Provider Name
Bhanuprasad Venkatesulu
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2160 S 1St Ave, Maywood, IL, 60501-2054
Phone Number
832-275-4272
Fax Number
Provider Enumeration Date
03/21/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1275093734 05 IL
institution
Provider Business Practice Location Address Details
Address
2160 S 1St Ave
City
Maywood
State
Illinois
Zip
60153-3328
Phone Number
832-275-4272
Fax Number
person
Provider Business Mailing Address Details
Address
2160 S 1St Ave
City
Maywood
State
Illinois
Zip
60153-3328
Phone Number
832-275-4272
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Radiation Oncology
Taxonomy
2085R0001X
License No.
125.075399 (Illinois)
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
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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