| Sinha S Chunduri M.ds.c | |
|
675 W North Ave Suite 511 Melrose Park IL 60160 | |
| (708) 343-2235 | |
| (708) 343-2250 |
| Full Name | Sinha S Chunduri M.ds.c |
|---|---|
| Speciality | Internal Medicine |
| Location | 675 W North Ave, Melrose Park, Illinois |
| Authorized Official Name and Position | Sinha S Chunduri (PRESIDENT) |
| Authorized Official Contact | 7083432235 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sinha S Chunduri M.ds.c 675 W North Ave Suite 511 Melrose Park IL 60160 Ph: (708) 343-2235 | Sinha S Chunduri M.ds.c 675 W North Ave Suite 511 Melrose Park IL 60160 Ph: (708) 343-2235 |
| NPI Number | 1568642106 |
|---|---|
| Provider Enumeration Date | 11/12/2007 |
| Last Update Date | 03/11/2020 |
| Medicare PECOS PAC ID | 6800972977 |
|---|---|
| Medicare Enrollment ID | O20080329000082 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568642106 | NPI | - | NPPES |
| 036048105 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 036048105 (Illinois) | Primary |
| Provider Name | Sinha S Chunduri |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1891866067 PECOS PAC ID: 4082790159 Enrollment ID: I20080329000080 |
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