MULLAPUDI MEDICAL LLC
NPI 1336434687
Internal Medicine in Oak Brook, IL

Active since June 15, 2011CLIA 14D2085889 · Waiver
2S607 VENDOME AVE, OAK BROOK, IL 60523(630) 926-5409 Get Directions Write a Review

NPPES record last updated: June 15, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mullapudi Medical Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MULLAPUDI MEDICAL LLC (NPI 1336434687) is a healthcare organization registered as an internal medicine in Oak Brook, Illinois and active in the NPI registry since June 2011. The organization holds a CLIA Waiver certificate valid through October 23, 2026 and lists Rajendra P Mullapudi, Owner, as its authorized official.

NPPES Registry Identity

NPI1336434687
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMULLAPUDI MEDICAL LLC
Location Address2S607 VENDOME AVEOak Brook, IL 60523-1073
Mailing Address2s607 Vendome AveOak Brook, IL 60523-1073 · (630) 926-5409
Organization SubpartNo
Authorized OfficialRajendra P MullapudiOwner · (630) 926-5409
Enumeration DateJune 15, 2011
NPI 1336434687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in IL · 036119143
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

2S607 VENDOME AVE, Oak Brook, IL 60523

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2085889

Mullapudi Medical/Rajendra Mullapudi MD · Chicago, IL
Active · expires Oct 23, 2026
CLIA Number14D2085889
Laboratory TypePhysician Office
Certificate Effective DateOctober 24, 2024
Certificate Expiration DateOctober 23, 2026
Laboratory DirectorRajendra P. Mullapudi MD
Laboratory Phone(630) 926-5409
Laboratory LocationMullapudi Medical/Rajendra Mullapudi MD1505 W Devon Ave, Chicago, IL 60660
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mullapudi Medical LLC's NPI number?

The NPI number for Mullapudi Medical LLC is 1336434687. It was assigned to this organization in the NPPES registry on June 15, 2011.

Where is Mullapudi Medical LLC located?

Mullapudi Medical LLC is located at 2s607 Vendome Ave, Oak Brook, IL 60523. The listed phone number is (630) 926-5409.

What is Mullapudi Medical LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Mullapudi Medical LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2085889) is associated with this NPI, valid through October 23, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mullapudi Medical LLC was last updated on June 15, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.