Madala, Chandramouli

Madala, Chandramouli is an individual health care provider with primary practice located at 363 Fremont St Suite 311, Battle Creek MI 49017-3389. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Madala, Chandramouli can be contacted via phone (269) 969-6088.

Contact Information

Primary practice address
363 Fremont St Suite 311 Battle Creek MI 49017-3389
Phone: (269) 969-6088
Fax: (269) 969-6044
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X CM057455 Michigan

Profile Details

NPI number 1487629283
LBN Legal business name Madala, Chandramouli
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2006
Last updated Apr 14th, 2021 - about 3 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 1487629283 NPPES
Michigan Other CM057455 STATE LICENSE NUMBER
Michigan MEDICAID 103064422 STATE LICENSE NUMBER

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