Provider Demographics
NPI:1114381373
Name:DENDULURI, SAHITYA KRISHNA CHANDRA (MD)
Entity type:Individual
Prefix:
First Name:SAHITYA
Middle Name:KRISHNA CHANDRA
Last Name:DENDULURI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2160 S 1ST. AVE
Mailing Address - Street 2:MAGUIRE BUILDING SUITE 1700
Mailing Address - City:MAYWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60153
Mailing Address - Country:US
Mailing Address - Phone:708-216-3280
Mailing Address - Fax:708-216-6223
Practice Address - Street 1:2160 S 1ST AVE
Practice Address - Street 2:
Practice Address - City:MAYWOOD
Practice Address - State:IL
Practice Address - Zip Code:60153-3328
Practice Address - Country:US
Practice Address - Phone:708-216-3280
Practice Address - Fax:708-216-6223
Is Sole Proprietor?:No
Enumeration Date:2016-04-13
Last Update Date:2024-10-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036159840207XS0106X, 207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery