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CHAITANYA BABU MEDICHERLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
19 BRADHURST AVE STE 3850S, HAWTHORNE, NY 10532-2140
(347) 837-7135
Mailing address
19 BRADHURST AVE STE 3850S, HAWTHORNE, NY 10532-2140

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
310243
NY
2084V0102X
Vascular Neurology Physician
Primary
310243
NY

Other

Enumeration date
04/16/2015
Last updated
03/26/2025
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