Provider Demographics
NPI:1295782365
Name:NAGUBADI, NARAYANA SWAMY (MD)
Entity type:Individual
Prefix:DR
First Name:NARAYANA
Middle Name:SWAMY
Last Name:NAGUBADI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1900 W POLK ST
Mailing Address - Street 2:SUITE 1429
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60612-3723
Mailing Address - Country:US
Mailing Address - Phone:312-864-7326
Mailing Address - Fax:312-864-7394
Practice Address - Street 1:1900 W POLK ST
Practice Address - Street 2:SUITE 1429
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612-3723
Practice Address - Country:US
Practice Address - Phone:312-864-6000
Practice Address - Fax:312-864-7394
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-27
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036105370207RC0200X, 207RS0012X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036105370Medicaid
IL1617373OtherBCBS OF IL
IL336-066339OtherCONTROLLED SUBSTANCE
BN8685793OtherDEA
IL036105370Medicaid
IL209308006Medicare PIN