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Samyukta Koppula, M.D
NPI 1770641763 · on the registry since 2006 · sole proprietor
Practice
- Address
- 6857 Kingery Hwy
Willowbrook, IL 60527 - Phone
- (630) 323-8800
- Fax
- (630) 850-9797
Registry record
- Primary taxonomy
- 207K00000X
207K00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2013-09-30
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