Individual
CHANDRAMOULI CHAKINALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2200 9TH ST, WICHITA FALLS, TX 76301-4029
(940) 723-4134
(940) 322-2341
Mailing address
3202 HAMILTON BLVD, WICHITA FALLS, TX 76308-2025
(940) 322-9390
(940) 322-2341
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
F0413
TX
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
F0413
TX
207RP1001X
Pulmonary Disease Physician
Primary
F0413
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
133076305
—
TX
Enumeration date
06/25/2006
Last updated
02/29/2012
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