Individual
VINAYA CHANDRA MADDUKURI
Active
Individual
VINAYA CHANDRA MADDUKURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2011-00258
NC
207R00000X
Internal Medicine Physician
35.088133
OH
207R00000X
Internal Medicine Physician
36114942
IL
207RG0100X
Gastroenterology Physician
2011-00258
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1770512774
—
NC
05
—
200844300
—
IN
05
—
2697121
—
OH
05
—
4047833
—
TN
05
—
5920649
—
NC
05
—
64127996
—
KY
05
—
NC1630
—
SC
Enumeration date
07/02/2006
Last updated
11/29/2016
Update your record
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