Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0200X | Critical Care Medicine | P0021 | TX |
NPI | 1083814545 |
---|---|
Provider Name | Muralikrishna V Chelikani |
First Address | Houston, TX 77030-2703 |
Second Address | Houston, TX 77030-2703 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/07/2007 |
Last Update Date | 18/08/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
333069802 | (05) | TX |
333069803 | (05) | TX |
8EE754 | BLUE CROSS BLUE SHIELD (01) | TX |
8FU398 | BLUE CROSS BLUE SHIELD (01) | TX |