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Madhav Chittimalla

NPI Registration Record

Provider / OrganizationNPIDate Certified
MADHAV CHITTIMALLA10630915022021-04-04

Madhav Chittimalla is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1063091502. Registration indicates Madhav Chittimalla is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)

Entity TypeIndividual
Provider NameDr. Madhav Chittimalla MB,BS
Practice Office Address1 ATWELL RD
COOPERSTOWN, NY US
Practice Office Telephone6075473456
Practice Office Fax6075476612
Mailing AddressPO BOX 725
COOPERSTOWN, NY 133260725 US
Business Telephone6075473456
Business Fax6075476612
HPT Codes
CodePractice
License No
State
390200000X PRIMARY
Student, Health Care
Student in an Organized Health Care Education/Training Program
Student in an Organized Health Care Education/Training Program

All Other Specialties & Provider Types

Student in an Organized Health Care Education/Training Program
Student, Health Care
OPI Codes

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