Provider Demographics
NPI:1730345307
Name:AREKAPUDI, SMITHA (MD)
Entity type:Individual
Prefix:DR
First Name:SMITHA
Middle Name:
Last Name:AREKAPUDI
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 1:2624 N LAKEWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60614-1210
Mailing Address - Country:US
Mailing Address - Phone:617-797-7720
Mailing Address - Fax:773-525-9199
Practice Address - Street 1:RUSH UNIVERSITY MEDICAL CENTER ANESTHESIOLOGY DEPT.
Practice Address - Street 2:600 S PAULINA ST
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612
Practice Address - Country:US
Practice Address - Phone:312-942-8375
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-04
Last Update Date:2024-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01071687B207L00000X
IL036128180207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN12353067OtherCAQH
IN01071687BOtherMEDICAL LICENSING BOARD