MEDICARE: DR. NIHARA CHAKRALA MD

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	207R00000X	Internal Medicine Physician	25MA12849100	NJ

General Provider Information

NPI Number	:	1245989409
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NIHARA CHAKRALA MD

Provider Business Mailing Address
First Line	:	14 SANIBEL CT
Second Line	:
City	:	MONROE
State	:	NJ
Zip	:	08831-5817
Country	:	US
Telephone Number	:	609-787-8225
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 HURLEY PLZ OFC 10W
Second Line	:
City	:	FLINT
State	:	MI
Zip	:	48503-5902
Country	:	US
Telephone Number	:	810-262-9000
Fax Number	:

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

Provider Enumeration Date	:	03/23/2022
Last Update Date	:	01/20/2026

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