MEDICARE: DR. VEERENDRA MELAGIREPPA CHADACHAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician	242218	MA

General Provider Information

NPI Number	:	1952639338
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VEERENDRA MELAGIREPPA CHADACHAN

Provider Business Mailing Address
First Line	:	44 WASHINGTON ST
Second Line	:	APT 305
City	:	BROOKLINE
State	:	MA
Zip	:	02445-7130
Country	:	US
Telephone Number	:	262-676-1206
Fax Number	:

Provider Business Practice Location Address
First Line	:	85 E CONCORD ST
Second Line	:	5TH FLOOR 5533
City	:	BOSTON
State	:	MA
Zip	:	02118-2335
Country	:	US
Telephone Number	:	617-638-9556
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/24/2009
Last Update Date	:	11/24/2009

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