NPI 1578682464

Raja Ram Poludasu, MD

Practitioner Nuclear Imaging & Therapy Physician Park Ridge, IL

Practice location

Address: 1420 Renaissance Dr STE 307, Park Ridge, IL 60068-1343
Phone: (847) 803-1000
Fax: (847) 803-1098
Mailing address: 29373 Network Pl, Chicago, IL 60673-1293

Registered specialties (2)

Nuclear Imaging & Therapy Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207UN0902X Licence P53187 (NY)

Other Nuclear Medicine providers in Illinois →

Diagnostic Radiology Physician

Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence 036121439 (IL)

Other Radiology providers in Illinois →

Registry record

NPI: 1578682464
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Mar 2007
Record last updated: 26 Feb 2026

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.