BHASKER RAO KOPPULA

MCHENRY, IL
NPI1417033267
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: IL  036166661)
Additional Taxonomies207U00000X Nuclear Medicine
(Licence: UT  7682213-1205)
2085R0202X Radiology, Diagnostic Radiology
(Licence: UT  7682213-1205)
Enumeration Date2006-10-27
Last Update Date2023-11-27
Business Address
BHASKER RAO KOPPULA M.D
4201 W MEDICAL CENTER DR
MCHENRY, IL 60050-8409
Phone number: 815-334-5566
Mailing Address
BHASKER RAO KOPPULA M.D
DEPARTMENT OF RADIOLOGY UNIVERSITY OF UTAH 30 NORTH 1900 EAST, #1A071
SALT LAKE CITY, UT 84132-2140
Phone number: 801-581-7553