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Contact Information

CHANDRASEKHAR CHERUKUPALLI, MD
520 MARY ST STE 520
EVANSVILLE, IN47710-1682
 Phone: 812-424-8231
 Fax: 812-435-8794
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
 

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for CHANDRASEKHAR CHERUKUPALLI · (Male)

NPI Number 1942406673
Status Active
Credentials MD
Entity Individual
Enumeration date 06/21/2007
Last updated 03/04/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 01070273A
  • IN Medicaid 201047950
  • KY Medicaid 7100186780
  • IN Other 000000750011 ANTHEM
  • IN Other 01070273 INDIANA STATE LICENSE
Hospital affiliation(s)
  • DEACONESS HOSPITAL INC - (Acute Care)
    600 MARY ST
    EVANSVILLE, IN 47747
  • MEMORIAL HOSPITAL AND HEALTH CARE CENTER - (Acute Care)
    800 W 9TH ST
    JASPER, IN 47546
  • METHODIST HOSPITAL - (Acute Care)
    1305 N ELM ST
    HENDERSON, KY 42420
  • ST MARY'S MEDICAL CENTER OF EVANSVILLE INC - (Acute Care)
    3700 WASHINGTON AVE
    EVANSVILLE, IN 47750
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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