Individual
DR. MOHAN M CHILUKURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2400 BROAD ST, SUITE 1, DURHAM, NC 27704-2661
(919) 220-9800
(919) 220-9500
Mailing address
4705 UNIVERSITY DR BLDG 700, DURHAM, NC 27707-3489
(919) 237-1337
(919) 237-1625
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9300061
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8922353
—
NC
Enumeration date
09/13/2006
Last updated
09/28/2023
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