Individual
ANTHONY B CHILLURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10628 PARK RD, CHARLOTTE, NC 28210-8407
(704) 667-1000
Mailing address
6135 PARK SOUTH DR STE 510, CHARLOTTE, NC 28210-0100
(704) 749-3116
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2014-02286
NC
207L00000X
Anesthesiology Physician
ME89369
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269479400
—
FL
01
—
37725
BCBS OF FL #
FL
01
—
ME89369
FL MEDICAL LICENSE
FL
01
—
P00184171
RR MEDICARE
FL
Enumeration date
09/26/2006
Last updated
09/19/2024
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