Provider Demographics
NPI:1750999801
Name:CHILUKURI, KALYAN C (MD)
Entity type:Individual
Prefix:DR
First Name:KALYAN
Middle Name:C
Last Name:CHILUKURI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1631 11TH STREET
Mailing Address - Street 2:UNIT B
Mailing Address - City:WICHITA FALLS
Mailing Address - State:TX
Mailing Address - Zip Code:76301-3762
Mailing Address - Country:US
Mailing Address - Phone:940-263-3000
Mailing Address - Fax:940-263-3018
Practice Address - Street 1:1600 11TH STREET
Practice Address - Street 2:UNITED REGIONAL HEALTH CARE SYSTEM
Practice Address - City:WICHITA FALLS
Practice Address - State:TX
Practice Address - Zip Code:76301-4300
Practice Address - Country:US
Practice Address - Phone:940-263-3000
Practice Address - Fax:940-263-3018
Is Sole Proprietor?:No
Enumeration Date:2020-07-15
Last Update Date:2023-08-30
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Provider Licenses
StateLicense IDTaxonomies
TXU6215207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine