SURAJ BOPANNA

ROCKFORD, IL
NPI1740433291
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RP1001X Internal Medicine, Pulmonary Disease
(Licence: IL  036-126456)
Additional Taxonomies207R00000X Internal Medicine
(Licence: IA  40265)
207RC0200X Internal Medicine, Critical Care Medicine
(Licence: IA  40265)
207RP1001X Internal Medicine, Pulmonary Disease
(Licence: IA  40265)
207RC0200X Internal Medicine, Critical Care Medicine
(Licence: IL  036-126456)
Enumeration Date2008-10-28
Last Update Date2024-03-04
Business Address
Mr. SURAJ BOPANNA MD, MRCP
1401 E STATE ST
ROCKFORD, IL 61104
Phone number: 779-696-6102
Mailing Address
Mr. SURAJ BOPANNA MD, MRCP
PO BOX 78866
MILWAUKEE, WI 53278-8866
Phone number: 779-696-7150