Individual
SYAMALA CHEKURU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3506 21ST ST, SUITE 602, LUBBOCK, TX 79410-1212
(806) 725-4730
(806) 723-6735
Mailing address
3420 22ND PL, LUBBOCK, TX 79410-1314
(806) 725-5844
(806) 723-6532
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
MDF5171
TX
208100000X
Physical Medicine & Rehabilitation Physician
Primary
F5171
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000W8189
—
NM
05
—
089546803
—
TX
01
—
110211104
FIRSTCARE
TX
01
—
8CV646
BCBS
TX
Enumeration date
08/15/2005
Last updated
05/04/2015
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