| Chandrasekhar Polepalle Md Inc | |
|
3720 W Broadway St Muskogee OK 74401-2141 | |
| (918) 683-5939 | |
| (918) 686-5590 |
| Full Name | Chandrasekhar Polepalle Md Inc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 3720 W Broadway St, Muskogee, Oklahoma |
| Authorized Official Name and Position | Sherry Harris (OFFICE MANAGER) |
| Authorized Official Contact | 9186835939 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chandrasekhar Polepalle Md Inc 3720 W Broadway St Muskogee OK 74401-2141 Ph: (918) 683-5939 | Chandrasekhar Polepalle Md Inc 3720 W Broadway St Muskogee OK 74401-2141 Ph: (918) 683-5939 |
| NPI Number | 1922372812 |
|---|---|
| Provider Enumeration Date | 02/24/2012 |
| Last Update Date | 02/24/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922372812 | NPI | - | NPPES |
| 176625676P | Other | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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