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General NPI Number Information
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NPI Number | 1548232846
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Entity Type | Individual
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Provider Name | MADAN M CHILAPPA M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/02/2006
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Last Update Date | 02/04/2010
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Provider Practice Location Address
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Address Line | 6420 CLAYTON RD
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City | SAINT LOUIS
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State | MO
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Zip | 63117-1811
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Country | US
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Telephone | 314-843-1866
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Fax |
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Provider Business Mailing Address
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Address Line | 11222 TESSON FERRY RD SUITE 100
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City | SAINT LOUIS
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State | MO
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Zip | 63123-6963
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Country | US
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Telephone | 314-843-1866
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Fax | 314-843-7484
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | R6N36
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License Number State | MO
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