Individual provider · Type 1 NPI

Bhasker Rao Koppula, MD

Diagnostic Radiology Physician · Mchenry, IL

NPI number 1417033267 Active

Practice location

4201 W Medical Center Dr
Mchenry, IL 60050-8409

Call (815) 334-5566 Map

Fax (815) 759-4008

Mailing address

Department Of Radiology University Of Utah, 30 North 1900 East, #1A071
Salt Lake City, UT 84132-2140

Other practice locations

  • Department Of Radiology University Of Utah, 30 North 1900 East, #1A071, Salt Lake City, UT 84132-2140 · (801) 581-7553
  • 1304 Fawcett Ave Ste 100, Tacoma, WA 98402-1900 · (253) 761-4200

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202X036166661 (IL)
Nuclear Medicine Physician 207U00000X7682213-1205 (UT)
Diagnostic Radiology Physician 2085R0202XMD60120325 (WA)
Diagnostic Radiology Physician 2085R0202X7682213-1205 (UT)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

204 other providers at this address

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About NPI 1417033267

Bhasker Rao Koppula, MD's National Provider Identifier is 1417033267, issued on Oct 27, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Mchenry, IL. The record was last updated on Aug 30, 2024.