NPI 1003836727

Mahesh Vadali, MD

Practitioner Gastroenterology Physician Oak Lawn, IL

Practice location

Address: 10458 S Pulaski Rd, Oak Lawn, IL 60453-4933
Phone: (708) 636-1818
Fax: (708) 636-2151
Mailing address: PO Box 388320, Chicago, IL 60638-8320

Registered specialties

Gastroenterology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207RG0100X Licence 036086617 (IL)

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Registry record

NPI: 1003836727
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Jul 2006
Record last updated: 31 Dec 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.