Individual
SANDEEP K. CHILAKALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
853 JEFFERSON AVENUE, SUITE 201, MEMPHIS, TN 38103
(901) 448-4750
(901) 302-2993
Mailing address
1068 CRESTHAVEN RD STE 300, MEMPHIS, TN 38119-0809
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
49878
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003180578A
—
GA
05
—
00422575
—
MS
05
—
1487835229
—
MO
05
—
1532717
—
TN
05
—
179200
—
AL
05
—
196437001
—
AR
Enumeration date
11/20/2007
Last updated
02/25/2025
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