Individual
MR. CHANDRASEKHAR POLEPALLE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3720 W BROADWAY ST, MUSKOGEE, OK 74401-2141
(918) 683-5989
(918) 688-6690
Mailing address
3720 W BROADWAY ST, MUSKOGEE, OK 74401-2141
(918) 683-5989
(918) 688-6690
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
18808
OK
Other
Enumeration date
08/25/2005
Last updated
07/08/2007
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