Individual
DURGARANI CHADALAWADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3130 N COUNTY ROAD 25A, TROY, OH 45373-1337
(937) 440-4466
(937) 440-7177
Mailing address
3130 N COUNTY ROAD 25A, TROY, OH 45373-1337
(937) 440-4466
(937) 440-7177
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
35.095742
OH
207Q00000X
Family Medicine Physician
MD427516
PA
208M00000X
Hospitalist Physician
Primary
35.095742
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1014140970001
—
PA
05
—
1014140970002
—
PA
01
—
251754199019
MEDICAL MUTUAL OF OHIO
PA
05
—
3146698
—
OH
01
—
410893
UPMC HEALTH PLAN
PA
01
—
902560
HIGHMARK BLUE SHIELD
PA
01
—
I44354
HEALTH AMERICA
PA
01
—
P00258909
PALMETTO GBA-RAILROAD MEDICARE
PA
Enumeration date
09/19/2005
Last updated
05/05/2023
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