Madhavi Chilakamarri PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

01056497A Issued in IN

Legal business name

MADHAVI CHILAKAMARRI PC

Practice address

10102 Woodland Plaza CV # a
Fort Wayne, IN 46825-1565

Phone

(260) 490-4416

NPI assigned

Oct 24, 2006

Organization subpart

No

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

Authorized official

Name

Madhavi Chilakamarri, MD

Title

Owner

Phone

(260) 490-4416

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255415493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10102 WOODLAND PLAZA CV # A",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468251565",
            "telephone_number": "260-490-4416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10102 WOODLAND PLAZA CV # A",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468251565",
            "telephone_number": "260-490-4416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADHAVI CHILAKAMARRI PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHILAKAMARRI",
        "authorized_official_first_name": "MADHAVI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "260-490-4416",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IN",
            "license": "01056497A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI NUMBER",
            "identifier": "1013916394",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Georgiana Macy, BS
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• Ashley E Madak
• Daniel E Maddela, M.D.
• Made to Thrive Mental Health Wellness
• Alexandra Madigan, MD
• Rachel Dianne Madraga
• Allen Richard Maertin, DO
• Daryl Gene Nanale Magada, ACNPC-AG
• Miriva Magar, M.D.

• Specialist in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Specialist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.