Individual
MADHAVI CHALLAGULLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
323 LOWELL ST, ANDOVER, MA 01810-4501
(978) 783-5000
(978) 313-8184
Mailing address
323 LOWELL ST, ANDOVER, MA 01810-4501
(978) 783-5000
(978) 313-8184
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
234264
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110078585A
—
MA
Enumeration date
03/19/2007
Last updated
06/01/2019
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