| L Chirumamilla, Md, Pc | |
|
3058 Wolf Lake Blvd New Albany IN 47150-9584 | |
| (812) 987-2294 | |
| Not Available |
| Full Name | L Chirumamilla, Md, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3058 Wolf Lake Blvd, New Albany, Indiana |
| Authorized Official Name and Position | Randi L Lilly (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 8129895495 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| L Chirumamilla, Md, Pc Po Box 511 Sellersburg IN 47172-0511 Ph: (812) 987-2294 | L Chirumamilla, Md, Pc 3058 Wolf Lake Blvd New Albany IN 47150-9584 Ph: (812) 987-2294 |
| NPI Number | 1831626688 |
|---|---|
| Provider Enumeration Date | 05/11/2017 |
| Last Update Date | 05/11/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831626688 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 01046148A (Indiana) | Primary |
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