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NPI Code Detail

MEDICARE: KURMANADHA CHADALAWADA MD

MEDICARE: KURMANADHA CHADALAWADA 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
1207R00000XInternal Medicine Physician105197MO

General Provider Information

NPI Number : 1396771606
Entity Type Code : Individual
Provider Name (Legal Business Name) : KURMANADHA CHADALAWADA MD
Provider Business Mailing Address
First Line : PO BOX 797052
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63179-7000
Country : US
Telephone Number : 314-878-0163
Fax Number : 314-878-4562
Provider Business Practice Location Address
First Line : 3619 RICHARDSON SQUARE DR
Second Line : SUITE 150
City : ARNOLD
State : MO
Zip : 63010-6022
Country : US
Telephone Number : 636-461-1414
Fax Number : 636-461-2013
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2006
Last Update Date : 11/18/2024

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Directions to “ KURMANADHA CHADALAWADA MD” Practice Location

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