Chilungu, Michael W

Chilungu, Michael W is an individual health care provider with primary practice located at 1425 Portland Ave , Rochester NY 14621. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Chilungu, Michael W can be contacted via phone (585) 922-4371.

Contact Information

Primary practice address
1425 Portland Ave Rochester NY 14621
Phone: (585) 922-4371
Fax: (585) 338-7485
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 57.011073 Ohio
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 253089 New York

Profile Details

NPI number 1205042769
LBN Legal business name Chilungu, Michael W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 14th, 2007
Last updated Jul 6th, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205042769 NPPES
New York MEDICAID 03127786

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