Individual
DR. CHAITANYA CHEKKILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8920 SOUTHPOINTE DRIVE, SUITE B, INDIANAPOLIS, IN 46227-7505
(317) 497-1900
(317) 497-1919
Mailing address
6626 E. 75TH STREET, SUITE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01069637A
IN
390200000X
Student in an Organized Health Care Education/Training Program
4301092318
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201030680
—
IN
01
—
P01539670
MEDICARE RR
IN
Enumeration date
07/21/2008
Last updated
11/27/2023
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