Chilakala, Sandeep K.

Chilakala, Sandeep K. is an individual health care provider with primary practice located at 853 Jefferson Avenue, Suite 201 , Memphis TN 38103. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as his primary health care specialty. Chilakala, Sandeep K. can be contacted via phone (901) 448-4750.

Contact Information

Primary practice address
853 Jefferson Avenue, Suite 201 Memphis TN 38103
Phone: (901) 448-4750
Fax: (901) 302-2993
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 49878 Tennessee

Profile Details

NPI number 1487835229
LBN Legal business name Chilakala, Sandeep K.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2007
Last updated Oct 8th, 2018 - about 7 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 1487835229 NPPES
Missouri MEDICAID 1487835229
Missouri MEDICAID 1532717
Missouri MEDICAID 00422575
Missouri MEDICAID 179200
Missouri MEDICAID 196437001
Missouri MEDICAID 003180578A

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