Provider Demographics
NPI:1063672244
Name:CHELAMKURI, SATYA
Entity Type:Individual
Prefix:
First Name:SATYA
Middle Name:
Last Name:CHELAMKURI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ELCAMINO HOSPITAL
Mailing Address - Street 2:2500 GRANT ROAD
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94040
Mailing Address - Country:US
Mailing Address - Phone:585-208-7373
Mailing Address - Fax:
Practice Address - Street 1:EL CAMINO HOSPITAL
Practice Address - Street 2:2500 GRANT ROAD
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94040
Practice Address - Country:US
Practice Address - Phone:585-208-7373
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-11
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA111532207QH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QH0002XAllopathic & Osteopathic PhysiciansFamily MedicineHospice and Palliative Medicine