L Chirumamilla MD PC

NPI #1801116025 in Salem, Indiana

Provider Information

NPI Number: 1801116025
Entity Type: Organization
Organization Name: L Chirumamilla MD PC
Primary Specialty: Internal Medicine
Enumeration Date: Jun 10, 2010
Last Updated: Jul 10, 2010

Practice Location

Address: 505 W HOMER ST
Address 2: SUITE 201
City: Salem
State: Indiana
ZIP Code: 47167-1698
Phone: (812) 883-0090

Authorized Official

Name: DR. LATCHAIAH CHIRUMAMILLA, MD
Title: OWNER
Phone: (812) 883-0090

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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