Free National NPI Number Registry

Madhavi Chilakamarri

Home > Madhavi Chilakamarri

 

NPI Number Detailed Information

Provider Information:

Name: Madhavi Chilakamarri
Gender: F
Provider License Number If Given: 01056497A

NPI Information:

NPI: 1013916394
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 7/19/2005

Last Update Date: 7/22/2019

Provider Business Mailing Address:

Address: 3702 NEW VISION DR BLDG B
Fort Wayne, IN 46845
Phone Number:
Fax Number:

Provider Business Practice Location Address:

Address: 3909 NEW VISION DR
Fort Wayne, IN 46845
Phone Number: 2604696602
Fax Number: 2609693065

Provider Taxonomy:

Primary: 174400000X
Secondary (if any): 207R00000X
State: IN

Top Doctors in IN