BHASKER RAO KOPPULA M.D
Individual Provider (NPI-1)
Active
Radiology, Diagnostic Radiology
Provider Information
- NPI Number
1417033267- Provider Type
- Individual Provider (NPI-1)
- Credentials
- M.D
- Status
- Active
Contact & Location
- Address
- 4201 W MEDICAL CENTER DR, MCHENRY, IL, 600508409
- Phone
- (815) 334-5566
- Fax
- (815) 759-4008
Specialties & Taxonomies
Radiology, Diagnostic Radiology
Primary License: IL #036166661
Nuclear Medicine
License: UT #7682213-1205
Radiology, Diagnostic Radiology
License: WA #MD60120325
Radiology, Diagnostic Radiology
License: UT #7682213-1205
All Addresses
MAILING
DEPARTMENT OF RADIOLOGY UNIVERSITY OF UTAH 30 NORTH 1900 EAST, #1A071
SALT LAKE CITY, UT, 841322140