| Chelamkuri Professional Corporation | |
|
19155 Camino Barco Saratoga CA 95070-5617 | |
| (585) 208-7373 | |
| (248) 494-7440 |
| Full Name | Chelamkuri Professional Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 19155 Camino Barco, Saratoga, California |
| Authorized Official Name and Position | Satya V Chelamkuri (MD) |
| Authorized Official Contact | 5852087373 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chelamkuri Professional Corporation 19155 Camino Barco Saratoga CA 95070-5617 Ph: (585) 208-7373 | Chelamkuri Professional Corporation 19155 Camino Barco Saratoga CA 95070-5617 Ph: (585) 208-7373 |
| NPI Number | 1598299265 |
|---|---|
| Provider Enumeration Date | 04/19/2017 |
| Last Update Date | 03/09/2023 |
| Medicare PECOS PAC ID | 8123396272 |
|---|---|
| Medicare Enrollment ID | O20170614002360 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598299265 | NPI | - | NPPES |
| 1063672244 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A111532 (California) | Primary |
| Provider Name | Satya V Chelamkuri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063672244 PECOS PAC ID: 8527235456 Enrollment ID: I20121018000663 |
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