Susan Boss Chilukuri in Bellaire - Pediatrics

Susan Boss Chilukuri - NPI 1508062001

Susan Boss Chilukuri is a Pediatrics in Bellaire, Texas. Susan Boss Chilukuri practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Susan Boss Chilukuri is 1508062001. The last update date is 2008-01-14.

Susan Boss Chilukuri's current location address is 137 Phanturn Ln, Bellaire, Texas. You can contact this provider via phone number 7133855286. The mailing address for Susan Boss Chilukuri is 137 Phanturn Ln, Bellaire, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Susan Boss Chilukuri
Address 137 Phanturn Ln, Bellaire, Texas
Phone Number 7133855286
Fax Number
Sole Proprietor Y
Credentials C.P.N.P.

NPI Number Detail

NPI Number 1508062001
Provider Enumeration Date 2007-06-22
Last Updated Date 2008-01-14

Provider Mailing Address Detail

Address 137 Phanturn Ln
City Bellaire
State Texas (TX)
Post Code 774012607
Phone Number 7133855286
Fax Number

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 363Lp0200X
Licence No 678410
Definition:
An advanced practice registered nurse expert in providing care to infants, children and adolescents.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
678410 TX PNP LICENSE

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FAQs about Susan Boss Chilukuri

What is the Susan Boss Chilukuri's unique identification number?

The Susan Boss Chilukuri has been assigned the NPI (National Provider Identifier) Number 1508062001 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you share the physical location details of Susan Boss Chilukuri?

The Susan Boss Chilukuri is situated at 137 Phanturn Ln, in the city of Bellaire, state of TX, with the zip code 774012607.

What is the Susan Boss Chilukuri's area of specialization and corresponding taxonomy classification?

The Susan Boss Chilukuri's specialty field is Pediatrics, and it falls under the taxonomy code 363Lp0200X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services issue the 1508062001 to Susan Boss Chilukuri?

The Susan Boss Chilukuri received its 1508062001 assignment from the Centers for Medicare & Medicaid Services on 2007-06-22.

When was the Susan Boss Chilukuri's information last updated?

The Susan Boss Chilukuri's information was last updated on 2008-01-14.

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