Individual
SANDHYA CHILUKALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN-C
Contact information
Practice address
199C N BEVERWYCK RD APT C9, LAKE HIAWATHA, NJ 07034-1423
(270) 992-2299
Mailing address
199C N BEVERWYCK RD APT C9, LAKE HIAWATHA, NJ 07034-1423
(270) 992-2299
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
26NJ01088100
NJ
Other
Enumeration date
12/23/2020
Last updated
12/23/2020
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