KIRAN POLAVARAPU MD SC
NPI 1326330028
Plastic Surgery in Chicago, IL

Active since May 12, 2011
2348 N LISTER AVE, 305, CHICAGO, IL 60614(773) 710-6128 Get Directions Write a Review

NPPES record last updated: May 12, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Plastic Surgery

About KIRAN POLAVARAPU MD SC

This page provides the complete NPI Profile along with additional information for Kiran Polavarapu Md Sc, a provider established in Chicago, Illinois operating as a Plastic Surgery. The healthcare provider is registered in the NPI registry with number 1326330028 assigned on May 2011. The practitioner's primary taxonomy code is 208200000X with license number 036126768 (IL). The provider is registered as an organization and their NPI record was last updated 15 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Kiran Polavarapu M.d. (Physician)

NPI
1326330028 Verify this NPI
Provider Name
KIRAN POLAVARAPU MD SC
Entity Type
Organization
Location Address
2348 N LISTER AVE 305 CHICAGO, IL 60614
Location Phone
(773) 710-6128
Mailing Address
2348 N LISTER AVE 305 CHICAGO, IL 60614
Mailing Phone
(773) 710-6128
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-12-2011
Last Update Date
05-12-2011
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Plastic Surgery

Taxonomy Code
208200000X
Type
Allopathic & Osteopathic Physicians
License No.
036126768
License State
IL
Taxonomy Description
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KIRAN POLAVARAPU M.D.

Authorized Official Title
PHYSICIAN
Authorized Official Phone
(773) 710-6128

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1326330028, enumerated as an "organization" on May 12, 2011.

The provider is located at 2348 N LISTER AVE 305 CHICAGO, IL 60614 and the phone number is (773) 710-6128.

Plastic Surgery with taxonomy code 208200000X.