Dr. Jamuna Reddy Garisa, M.D.,
Pediatrics in Chicago, IL. Individual provider (NPI-1).
NPI number1124474598
StatusActive
Last updated in NPPESAug 31, 2020
Details
- NPI
- 1124474598
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jamuna Reddy Garisa
- Credential
- M.D.,
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 4, 2016
- Certification date
- Aug 31, 2020
- Last updated
- Aug 31, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 125.066527 | IL | Yes |
Practice location
1926 W Harrison StChicago, IL 60612-3737
Phone 312-391-3443
Mailing address
1926 W Harrison StChicago, IL 60612-3737
Phone 312-391-3443
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