Provider Demographics
NPI:1659306181
Name:BERIKAI, PADMALATHA (MD)
Entity Type:Individual
Prefix:
First Name:PADMALATHA
Middle Name:
Last Name:BERIKAI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2040 OGDEN AVE STE 217
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60504-7205
Mailing Address - Country:US
Mailing Address - Phone:630-978-4889
Mailing Address - Fax:630-978-4913
Practice Address - Street 1:2040 OGDEN AVE
Practice Address - Street 2:SUITE 217
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60504-4376
Practice Address - Country:US
Practice Address - Phone:630-978-4889
Practice Address - Fax:630-978-4913
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2020-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036103752207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism