Chili Medical Corporation

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

11651R Issued in LA

Legal business name

CHILI MEDICAL CORPORATION

Practice address

4655 Bluebonnet Rd
Baton Rouge, LA 70809-2648

Phone

(225) 939-7787

NPI assigned

Jun 18, 2015

Organization subpart

No

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

Authorized official

Name

Jay N Yalamanchili, MD

Title

Vicepresident

Phone

(225) 939-7787

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1434585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434585600000",
    "number": "1902287634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4655 BLUEBONNET RD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708092648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4655 BLUEBONNET RD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708092648",
            "telephone_number": "225-939-7787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILI MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-18",
        "last_updated": "2015-06-18",
        "status": "A",
        "authorized_official_last_name": "YALAMANCHILI",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "VICEPRESIDENT",
        "authorized_official_telephone_number": "225-939-7787",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "LA",
            "license": "11651R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Taylar Childress McKeithen, M.D.
• Martese Byron Childress, PSS SUP
• Nakia Michele Chilton, LPN
• Sindhu Chiluka
• Gertrude I. O Chimeka Anyanwoke, M.D.
• Kimberly Chin
• Tequila Chin

• Primary Care Clinic/Center in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Primary Care Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2015; 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.