| L Chirumamilla Md Pc | |
|
505 W Homer St Suite 201 Salem IN 47167-1698 | |
| (812) 883-0090 | |
| (812) 883-0199 |
| Full Name | L Chirumamilla Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 505 W Homer St, Salem, Indiana |
| Authorized Official Name and Position | Latchaiah Chirumamilla (OWNER) |
| Authorized Official Contact | 8128830090 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| L Chirumamilla Md Pc 505 W Homer St Suite 201 Salem IN 47167-1698 Ph: (812) 883-0090 | L Chirumamilla Md Pc 505 W Homer St Suite 201 Salem IN 47167-1698 Ph: (812) 883-0090 |
| NPI Number | 1801116025 |
|---|---|
| Provider Enumeration Date | 06/10/2010 |
| Last Update Date | 07/10/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801116025 | NPI | - | NPPES |
| 200189350 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 1046148 (Indiana) | Primary |
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