Individual
DR. CHANDRAMOULI MADALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
363 FREMONT ST, SUITE 311, BATTLE CREEK, MI 49017-3389
(269) 969-6088
(269) 969-6044
Mailing address
363 FREMONT ST, SUITE 311, BATTLE CREEK, MI 49017-3389
(269) 969-6088
(269) 969-6044
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
CM057455
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103064422
—
MI
01
—
CM057455
STATE LICENSE NUMBER
MI
Enumeration date
02/23/2006
Last updated
04/14/2021
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