Provider Demographics
NPI:1639276629
Name:GULIANI, RAJINDER KUMAR (MD FACC)
Entity Type:Individual
Prefix:DR
First Name:RAJINDER
Middle Name:KUMAR
Last Name:GULIANI
Suffix:
Gender:M
Credentials:MD FACC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5140 N CALIFORNIA AVE
Mailing Address - Street 2:SUITE 630
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60625
Mailing Address - Country:US
Mailing Address - Phone:773-728-0929
Mailing Address - Fax:773-728-3524
Practice Address - Street 1:5140 N CALIFORNIA AVE
Practice Address - Street 2:SUITE 630
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60625
Practice Address - Country:US
Practice Address - Phone:773-728-0929
Practice Address - Fax:773-728-3524
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2008-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036053063207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
C44368Medicare UPIN
635410Medicare ID - Type Unspecified