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NPI Code Detail

MEDICARE: CHARISHMA SHREE NALLAPATI

MEDICARE:   CHARISHMA SHREE NALLAPATI
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
1390200000XStudent in an Organized Health Care Education/Training ProgramFL
2207RI0011XInterventional Cardiology Physician036.170193IL
3207RI0011XInterventional Cardiology Physician.......TX
4207RC0000XCardiovascular Disease Physician4301504636MI

General Provider Information

NPI Number : 1982100236
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHARISHMA SHREE NALLAPATI
Provider Business Mailing Address
First Line : 180 HARVESTER DR STE 110
Second Line :
City : BURR RIDGE
State : IL
Zip : 60527-6686
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6550 FANNIN ST STE 1900
Second Line :
City : HOUSTON
State : TX
Zip : 77030-2717
Country : US
Telephone Number : 346-238-5038
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2018
Last Update Date : 05/26/2026

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Directions to “ CHARISHMA SHREE NALLAPATI ” Practice Location

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