Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Raja Ram Poludasu, MD

Individual provider Diagnostic Radiology Physician · NPI 1578682464

Raja Ram Poludasu, MD is a Diagnostic Radiology in Park Ridge, Illinois. Qualified in 1983, 43 years ago. Practices with Integrated Imaging Consultants LLC, a 165-clinician group and accepts Medicare assignment. Licensed in Illinois and New York.

Years since qualifying
43
Licensed in
IL, NY
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1420 Renaissance Dr Ste 307
Park Ridge, IL 60068-1343
Phone: (847) 803-1000
Fax: (847) 803-1098
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nuclear Imaging & Therapy Physician (primary) Taxonomy 207UN0902X · Licence P53187 (NY)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 036121439 (IL)

Record details

NPI number1578682464
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 29, 2007
Last updated in NPPESFebruary 26, 2026
Certification dateFebruary 26, 2026
Mailing address29373 Network Pl, Chicago, IL 60673-1293

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 1983 (43 years in practice)
Group practice Integrated Imaging Consultants Llc — 165 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Park Ridge