Individual
CHANDRASEKHLRA AZAD CHALLAPALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
901 MACARTHUR BLVD, MUNSTER, IN 46321-2901
(219) 836-7040
(219) 513-1127
Mailing address
901 MACARTHUR BLVD, ATTN ANESTHESIA, MUNSTER, IN 46321-2901
(219) 836-7040
(219) 513-1127
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
01035399A
IN
207L00000X
Anesthesiology Physician
01035399A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000081304
ANTHEM BCBS
IN
05
—
200251380A
—
IN
Enumeration date
05/05/2006
Last updated
12/31/2014
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