Individual
MADHAVI K. CHERUKURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
110 RIDGE RD, MUNSTER, IN 46321-1574
(219) 836-0000
(219) 836-2788
Mailing address
110 RIDGE RD, MUNSTER, IN 46321-1574
(219) 836-0000
(219) 836-2788
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01058204A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200470670
—
IN
01
—
256700H
MEDICARE PTAN
IN
Enumeration date
07/29/2005
Last updated
05/21/2009
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