Organization Active NPI

Madhavi Chary LLC

  • Internal Medicine Physician
  • Melbourne, FL
National Provider Identifier
1215413232
Registry record updated Jul 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME99819 Issued in FL
Legal business name
MADHAVI CHARY LLC
Practice address
315 Sandhurst Dr
Melbourne, FL 32940-2159
Phone
(321) 501-7053
Fax
(206) 339-2959
NPI assigned
Jul 12, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2018

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

Authorized official

Name
Madhavi T Chary, MD
Title
Owner
Phone
(321) 501-7053

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X ME99819 FL Primary

Addresses

Primary practice location

315 Sandhurst Dr
Melbourne, FL 32940-2159

Mailing address

315 Sandhurst Dr
Melbourne, FL 32940-2159
Phone (321) 501-7053

National Provider Directory

National Provider Directory

Locations

1350 Hickory St
Ste F
Melbourne, FL 32901
Phone (321) 368-3862

4251 Stack Blvd
Ste F
Melbourne, FL 32901
Phone (321) 368-3862

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1531353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531353600000",
    "number": "1215413232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 SANDHURST DR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329402159",
            "telephone_number": "321-501-7053",
            "fax_number": "206-339-2959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 SANDHURST DR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329402159",
            "telephone_number": "321-501-7053",
            "fax_number": "206-339-2959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADHAVI CHARY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-12",
        "last_updated": "2018-07-12",
        "status": "A",
        "authorized_official_last_name": "CHARY",
        "authorized_official_first_name": "MADHAVI",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-501-7053",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME99819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2018; 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.