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Individual

AADITYA G CHANDRAMOULI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
252 MCHENRY ST, BURLINGTON, WI 53105-1828
(262) 767-6000
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01085296A
IN
208M00000X
Hospitalist Physician
Primary
01085296A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100295074
WI
Enumeration date
04/01/2018
Last updated
05/01/2025
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