Individual
DR. SYAM S CHILUKURI
Active
Individual
DR. SYAM S CHILUKURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
01041516A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000282879
ANTHEM BC/BS
IN
01
—
01041516A
STATE LICENSE
IN
05
—
200004020
—
IN
05
—
64296874
—
KY
Enumeration date
07/13/2005
Last updated
04/15/2019
Update your record
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