Dr CHAITANYA MANDAPAKALA is a male medical professional, specializing in Pulmonary Disease. He graduated in 2007.
ST ELIZABETH MEDICAL CENTER, INC
1 MEDICAL VILLAGE DR
EDGEWOOD
KY
410173403
Tel:
| Npi | 1568783090 |
| Pac Id | 2062716319 |
| Professional Enrollment Id | I20170814003245 |
| Last Name | MANDAPAKALA |
| First Name | CHAITANYA |
| Middle Name | |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2007 |
| Primary Specialty | PULMONARY DISEASE |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | ST ELIZABETH MEDICAL CENTER, INC |
| Group Practice Pac Id | 0648174623 |
| Number Of Group Practice Members | 90 |
| Line 1 Street Address | 1 MEDICAL VILLAGE DR |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | EDGEWOOD |
| State | KY |
| Zip Code | 410173403 |
| Phone Number | |
| Hospital Affiliation Ccn 1 | 180035 |
| Hospital Affiliation Lbn 1 | ST ELIZABETH EDGEWOOD |
| Hospital Affiliation Ccn 2 | 180001 |
| Hospital Affiliation Lbn 2 | ST ELIZABETH FT THOMAS |
| Hospital Affiliation Ccn 3 | 180045 |
| Hospital Affiliation Lbn 3 | ST ELIZABETH FLORENCE |
| Hospital Affiliation Ccn 4 | 181311 |
| Hospital Affiliation Lbn 4 | ST ELIZABETH GRANT |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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