Chegondi, Madhuradhar
Chegondi, Madhuradhar is an individual health care provider with primary practice located at 200 Hawkins Dr , Iowa City IA 52242. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine is his primary health care specialty. Chegondi, Madhuradhar can be contacted via phone (319) 356-1615.Contact Information
Primary practice address
200 Hawkins Dr
Iowa City IA 52242
Phone: (319) 356-1615
Fax: (319) 356-8443
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X | ME113571 | Florida |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD-45420 | Iowa |
| Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X | MD-45420 | Iowa |
Profile Details
| NPI number | 1104173103 |
|---|---|
| LBN Legal business name | Chegondi, Madhuradhar |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 8th, 2012 |
| Last updated | Sep 24th, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104173103 | NPPES |
| Florida | MEDICAID | 014922200 |
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