Challapalli, Chandrasekhlra Azad

Challapalli, Chandrasekhlra Azad is an individual health care provider with primary practice located at 901 Macarthur Blvd , Munster IN 46321-2901. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Anesthesiology. Other Service Providers / Specialist is his primary health care specialty. Challapalli, Chandrasekhlra Azad can be contacted via phone (219) 836-7040.

Contact Information

Primary practice address
901 Macarthur Blvd Munster IN 46321-2901
Phone: (219) 836-7040
Fax: (219) 513-1127
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 01035399A Indiana
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 01035399A Indiana

Profile Details

NPI number 1932157336
LBN Legal business name Challapalli, Chandrasekhlra Azad
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Dec 31st, 2014 - about 10 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 1932157336 NPPES
Indiana MEDICAID 200251380A
Indiana Other 000000081304

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