Provider Demographics
NPI:1275277550
Name:POLAMRAJU, VINATHI SAINAGA (MD)
Entity type:Individual
Prefix:DR
First Name:VINATHI
Middle Name:SAINAGA
Last Name:POLAMRAJU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:180 HARVESTER DR STE 110
Mailing Address - Street 2:
Mailing Address - City:BURR RIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60527-6686
Mailing Address - Country:US
Mailing Address - Phone:773-702-1150
Mailing Address - Fax:
Practice Address - Street 1:5841 S MARYLAND AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60637-1443
Practice Address - Country:US
Practice Address - Phone:773-795-1824
Practice Address - Fax:773-702-2182
Is Sole Proprietor?:No
Enumeration Date:2022-04-23
Last Update Date:2025-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2024038613208M00000X, 207R00000X
IL036177603207RP1002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1002XAllopathic & Osteopathic PhysiciansInternal MedicinePhysician Nutrition Specialist
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO200110967Medicaid