Individual
CHANDRASEKHAR REDDY MOTKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
405 W JACKSON ST, CARBONDALE, IL 62901-1462
(618) 529-0478
Mailing address
1249 SANPAT LN, APT 1, CARBONDALE, IL 62902-7300
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036119271
IL
208M00000X
Hospitalist Physician
Primary
036119271
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036119271
—
IL
Enumeration date
09/06/2007
Last updated
11/10/2010
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