SearchIllinoisDiagnostic Radiology Physician

Bhasker Rao Koppula, M.D

NPI 1417033267 · on the registry since 2006

Practice

Address
4201 W Medical Center Dr
Mchenry, IL 60050
Phone
(815) 334-5566
Fax
(815) 759-4008
Organisation at this address
Apollo Medflight, Llc
Northern Illinois Medical Center
Mchenry Pathology Associates, S.C
Centegra Clinical Laboratories, Llc
Regional Cardiology Consultants Ltd
Inferred from a shared address, not stated in the registry.
Clinicians at this address
201

Additional practice sites

  • Department Of Radiology University Of Utah, Salt Lake City, UT
  • 1304 Fawcett Ave Ste 100, Tacoma, WA

Registry record

Primary taxonomy
Diagnostic Radiology Physician
2085R0202X
Also registered as
Nuclear Medicine Physician
Diagnostic Radiology Physician
Diagnostic Radiology Physician
Licence states on file
IL, UT, WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-08-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois