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Individual

MADHAVI REDDY CHERUKULA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2600 S HERITAGE WOODS DR, APPLETON, WI 54915-1408
(920) 225-7875
Mailing address
3 NEENAH CTR, NEENAH, WI 54956-3070
(920) 228-7875
(920) 993-5003

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
30174
NE
207R00000X
Internal Medicine Physician
Primary
76645
WI
208M00000X
Hospitalist Physician
30174
NE
208M00000X
Hospitalist Physician
MD-47285
IA

Other

Enumeration date
06/26/2014
Last updated
03/25/2022
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