Chandralekha Bommakanti, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

31641 Issued in WI

Practice address

500 S Oakwood Rd
Oshkosh, WI 54904-7944

Phone

(920) 223-3400

Fax

(920) 223-3404

NPI assigned

Sep 15, 2006

Last updated

Feb 6, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360108800000",
    "number": "1215033527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S OAKWOOD RD",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549047944",
            "telephone_number": "920-223-3400",
            "fax_number": "920-223-3404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S OAKWOOD RD",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549047944",
            "telephone_number": "920-223-3400",
            "fax_number": "920-223-3404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOMMAKANTI",
        "first_name": "CHANDRALEKHA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2013-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WI",
            "license": "31641",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31765700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lori Boelter, COTA
• David Brad Bogard, CRNA
• Jacqueline Ann Bogucke, PT
• Meghan Boll, APNP
• Mary M Bolz, B.S., C.S.W.
• Jamie G Bonell, APNP
• Aaron S Bos, M.D.
• Colleen Marie Botterman
• Theresa A Boudreau-Vnuk, B.X.
• Cierra Jean Boutelle

• Psychiatry Physician in Oshkosh, WI
• Providers in Oshkosh, WI by specialty
• Psychiatry Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.