Vavilala, Chandana
Vavilala, Chandana is an individual health care provider with primary practice located at 1205 S Main St Ste 201 , Crown Point IN 46307-3677. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Vavilala, Chandana can be contacted via phone (219) 769-8340.Contact Information
Primary practice address
1205 S Main St Ste 201
Crown Point IN 46307-3677
Phone: (219) 769-8340
Fax: (219) 769-8341
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 01057596 | Indiana |
Profile Details
| NPI number | 1548230113 |
|---|---|
| LBN Legal business name | Vavilala, Chandana |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 25th, 2006 |
| Last updated | Oct 27th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548230113 | NPPES |
| Indiana | Other | 00000072193 | ANTHEM TRADITIONAL |
| Indiana | MEDICAID | 200496780 | ANTHEM TRADITIONAL |
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