SAMRAGNYI MADALA

ROCKFORD, IL
NPI1568954352
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: IL  036174713)
Additional Taxonomies207RH0003X Internal Medicine, Hematology & Oncology
(Licence: IA  R-12372)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2018-06-06
Last Update Date2025-06-17
Business Address
SAMRAGNYI MADALA MD
5666 E STATE ST
ROCKFORD, IL 61108-2425
Phone number: 815-227-2273
Mailing Address
SAMRAGNYI MADALA MD
5666 E STATE ST
ROCKFORD, IL 61108-2425
Phone number: 815-227-2273