Chilakamarri, Madhavi
Chilakamarri, Madhavi is an sole proprietor health care provider with primary practice located at 3909 New Vision Dr , Fort Wayne IN 46845-1725. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Chilakamarri, Madhavi can be contacted via phone (260) 469-6602.Contact Information
Primary practice address
3909 New Vision Dr
Fort Wayne IN 46845-1725
Phone: (260) 469-6602
Fax: (260) 969-3065
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 01056497A | Indiana |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 01056497A | Indiana |
Profile Details
| NPI number | 1013916394 |
|---|---|
| LBN Legal business name | Chilakamarri, Madhavi |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 19th, 2005 |
| Last updated | Oct 17th, 2022 - about 2 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 | 1013916394 | NPPES |
| Indiana | MEDICAID | 200248200A |
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