Individual
CHAITANYA MADDUKURI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D)
Contact information
Practice address
2801 N STATE ROAD 7, MARGATE, FL 33063-5727
(609) 585-1122
Mailing address
PO BOX 7411009, CHICAGO, IL 60674-3009
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS23141
FL
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/30/2022
Last updated
03/16/2026
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