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Madhavi Chilakamarri Pc
Specialist in Fort Wayne, Indiana
NPI 1255415493

Madhavi Chilakamarri Pc is a Specialist based in Fort Wayne, IN. Madhavi Chilakamarri Pc practices in Fort Wayne, IN. The NPI Number for Madhavi Chilakamarri Pc is 1255415493 and holds a License No. 01056497A (Indiana).

The current practice location address for Madhavi Chilakamarri Pc is 10102 Woodland Plaza Cv # A, Fort Wayne, IN and can be reached out via phone at 260-490-4416.

Location: 10102 Woodland Plaza Cv # A, Fort Wayne, IN, 46825-1565
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1255415493
Provider Name
Madhavi Chilakamarri Pc
Credential
Provider Entity Type
Organization
Address
10102 Woodland Plaza Cv # A, Fort Wayne, IN, 46825-1565
Phone Number
260-490-4416
Fax Number
Provider Enumeration Date
10/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1013916394 01 IN INDIVIDUAL NPI NUMBER
institution
Provider Business Practice Location Address Details
Address
10102 Woodland Plaza Cv # A
City
Fort Wayne
State
Indiana
Zip
46825-1565
Phone Number
260-490-4416
Fax Number
person
Provider Business Mailing Address Details
Address
10102 Woodland Plaza Cv # A
City
Fort Wayne
State
Indiana
Zip
46825-1565
Phone Number
260-490-4416
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
01056497A (Indiana)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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