Mamillapalli, Chaitanya K

Mamillapalli, Chaitanya K is an individual health care provider with primary practice located at 350 W Carpenter St , Springfield IL 62702-4902. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Mamillapalli, Chaitanya K can be contacted via phone (217) 528-7541.

Contact Information

Primary practice address
350 W Carpenter St Springfield IL 62702-4902
Phone: (217) 528-7541
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 036-125425 Illinois

Profile Details

NPI number 1710137930
LBN Legal business name Mamillapalli, Chaitanya K
Credentials M.D, MRCP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 24th, 2008
Last updated May 21st, 2020 - about 5 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 1710137930 NPPES
Illinois MEDICAID 036125425

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