Chalikonda, Bhavani

Chalikonda, Bhavani is an individual health care provider with primary practice located at 254 Easton Ave , New Brunswick NJ 08901-1766. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, which is considered as his primary health care specialty. Chalikonda, Bhavani can be contacted via phone (732) 745-8600.

Contact Information

Primary practice address
254 Easton Ave New Brunswick NJ 08901-1766
Phone: (732) 745-8600
Fax: (732) 745-8725
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 25MA07786600 New Jersey

Profile Details

NPI number 1790704955
LBN Legal business name Chalikonda, Bhavani
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790704955 NPPES
New Jersey MEDICAID 0054151

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