Nishitha Cherukumalli, | |
2753 Hunters Pond Run Apt 22, Champaign, IL 61820-2479 | |
(347) 439-3868 | |
Not Available |
Full Name | Nishitha Cherukumalli |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Experience | 13 Years |
Location | 2753 Hunters Pond Run Apt 22, Champaign, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316329766 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 125066248 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
The Carle Foundation Hospital | Urbana, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Carle Health Care Incorporated | 3577515774 | 799 |
Entity Name | Carle Health Care Incorporated |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154653947 PECOS PAC ID: 3577515774 Enrollment ID: O20100513000829 |
Mailing Address | Practice Location Address |
---|---|
Nishitha Cherukumalli, 2753 Hunters Pond Run Apt 22, Champaign, IL 61820-2479 Ph: () - | Nishitha Cherukumalli, 2753 Hunters Pond Run Apt 22, Champaign, IL 61820-2479 Ph: (347) 439-3868 |
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