Chandrasekhar Polepalle, MD Valid NPI

Individual provider · Gastroenterology Physician · Muskogee, OK

NPI

1376536219

Type

Individual (Type 1)

Primary specialty

Gastroenterology Physician (Internal Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207RG0100X

License number

18808 (OK)

Sex

Male

Sole proprietor

No

Enumerated

2005-08-25

Last updated

2007-07-08