Medha Chunduru MD

NPI 1013395086 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1013395086
Gender Female
Enumeration Date 05/11/2015
Last Updated 05/11/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
1221 E STATE ST
ROCKFORD IL, 61104-2231, US
Phone (815) 972-1000
Fax (815) 972-1093
Business Location
1221 E STATE ST
ROCKFORD IL, 61104-2231, US
Phone (815) 972-1000
Fax (815) 972-1093
Toxanomy
Taxonomy Code 390200000X
License State Illinois
License Number 125-066467
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According to our database, Medha Chunduru MD NPI is 1013395086, taxonomy code is 390200000X and license number is 125-066467, license state is located at Illinois. Medha Chunduru MD physically located at 1221 E State St, Rockford IL, 61104-2231. NPI Number Medha Chunduru MD has the Individual type.

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1013395086 NPI number is provided on an as is basis without warranty of any kind. 1013395086 is maintained by the National Plan & Provider Enumeration System. The contents of Medha Chunduru MD are for informational purposes only.