Individual
DR. SOUMYA CHOWDARY MADALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
260 JEFFERSON AVE SE, STE 300, GRAND RAPIDS, MI 49503-4597
(616) 685-6330
(616) 685-3010
Mailing address
245 STATE ST SE, STE 228, GRAND RAPIDS, MI 49503-4328
(616) 685-1808
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301085495
MI
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
4301085495
MI
Other
Enumeration date
03/19/2007
Last updated
12/03/2021
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