Individual
NITIN CHOWDARY CHILUKURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
42 N SAINT JOSEPH AVE, NILES, MI 49120-2203
(269) 684-6696
Mailing address
42 N SAINT JOSEPH AVE STE 100, NILES, MI 49120-2203
(269) 684-6696
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
30723
MN
208600000X
Surgery Physician
Primary
4301514514
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2020
Last updated
04/20/2026
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