Male or Other

Bhavani Chalikonda M.D.

Pediatric Critical Care Medicine Physician in New Brunswick, NJ(View on Map)

Full Name

Bhavani Chalikonda M.D.

NPI Number

1790704955

NPI Type

Individual Provider

Gender

Male

Enumeration Date

07/19/2006

Specialties

(Taxonomies)

Code

2080P0203X

Primary Taxonomy

Yes

Licenses

State

New Jersey

License Number

25MA07786600

Contact
Information

Purpose

Mailing
Location

Address

254 EASTON AVE
254 EASTON AVE

City

New Brunswick
New Brunswick

State

NJ
NJ

Postal Code

08901-1766
08901-1766

Country

US
US

Telephone Number

N/A
(732) 745-8600

Identifiers

Identifier

0054151

Identifier State

NJ

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/08/2007

Provider Address

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